MS. WENDY WISHART (NPI# 1619376621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619376621 |
| Entity Type | Individual |
| Full Name | MS. WENDY WISHART |
| Credential | MA, MFTI#73685 |
| Practice Address |
555 Northgate Dr Ste 100 Family Services Agency of Marin San Rafael CA 94903-3696 |
| Mailing Address |
164 Cromart Ct Sunnyvale CA 94087-3240 |
| Practice Telephone | 4158893205 |
| Mailing Telephone | 4158893205 |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2014-08-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
73685 | CA | Behavioral Health & Social Service Providers |
| Street Address |
555 NORTHGATE DR STE 100 FAMILY SERVICES AGENCY OF MARIN |
| City | SAN RAFAEL |
| State | CA |
| Zip Code | 94903-3696 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568665719 | Kevin M. Killelea | Counselor | 555 Northgate Dr Ste 100, San Rafael, CA 94903-3696 | 2007-06-06 |
| 1356851760 | Margaret Russell | Marriage & Family Therapist | 555 Northgate Dr Ste 100, San Rafael, CA 94903-3696 | 2017-10-11 |
| 1669927604 | Dana Jackson Bloch | Counselor | 555 Northgate Dr Ste 100, Buckelew Programs, San Rafael, CA 94903-3696 | 2016-08-19 |
| 1811442882 | Kate Pooley | Counselor | 555 Northgate Dr Ste 100, Buckelew Programs, San Rafael, CA 94903-3696 | 2016-08-19 |
| 1982070363 | Amy Galanti | Counselor | 555 Northgate Dr Ste 100, Family Services Agency of Marin, San Rafael, CA 94903-3696 | 2015-08-19 |
| 1902280175 | Ashley Christensen | Marriage & Family Therapist | 555 Northgate Dr Ste 100, Family Service Agency of Marin, San Rafael, CA 94903-3696 | 2015-07-16 |
| 1194125278 | Susan Bolea | Counselor | 555 Northgate Dr Ste 100, Family Service Agency of Marin, San Rafael, CA 94903-3696 | 2014-08-26 |
| 1457750580 | Abigail Rodriguez | Student in an Organized Health Care Education/Training Program | 555 Northgate Dr Ste 100, Family Service Agency of Marin, San Rafael, CA 94903-3696 | 2014-08-14 |
| 1528477544 | Dorinda Woodley | Counselor | 555 Northgate Dr Ste 100, Family Service Agency of Marin, San Rafael, CA 94903-3696 | 2014-08-04 |
| 1386051829 | Paige Pires De Almeida | Counselor | 555 Northgate Dr Ste 100, Family Service Agency of Marin, San Rafael, CA 94903-3696 | 2014-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467089524 | Christopher Sazo | Counselor | 1 St. Vincents Drive, San Rafael, CA 94903 | 2020-03-26 |
| 1134769482 | Katherine Sieger | Music Therapist | 400 Civic Center Dr. #300, San Rafael, CA 94903 | 2020-01-14 |
| 1679064836 | California In Home Care & Registry, Inc | In Home Supportive Care | 14b Mitchell Blvd, Suite B, San Rafael, CA 94903 | 2018-05-23 |
| 1922557586 | Helen Elizabeth Shamis | Marriage & Family Therapist | 30 North San Pedro, Suite #265, Beyond Hunger, San Rafael, CA 94903 | 2016-09-23 |
| 1033572771 | Henry Colbert | Counselor | 1 St. St. Vincent Drive, San Rafael, CA 94903 | 2016-03-31 |
| 1659736924 | Robyn Bloom | Marriage & Family Therapist | 4 Joseph Court, San Rafael, CA 94903 | 2015-12-30 |
| 1851760565 | Cheryl Clementson | Substance Abuse Rehabilitation Facility | 301 Smith Ranch Road, San Rafael, CA 94903 | 2015-09-23 |
| 1588043731 | Chelsea Cooney | Counselor | 1 St. Vincent's Drive, San Rafael, CA 94903 | 2015-05-20 |
| 1083002315 | Kaiser Permanente | Psychiatric Unit | 111 Smith Ranch Road, Kaiser Permanente, San Rafael, CA 94903 | 2015-01-09 |
| 1366857856 | Travel Well Corporation | Preventive Medicine | 28 Mitchell Blvd, San Rafael, CA 94903 | 2014-06-24 |
| Find all providers in zip 94903 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851830483 | Bea Ivory-chambers | Counselor | 1330 Lincoln Ave Ste 202b, San Rafael, CA 94901-2142 | 2017-02-15 |
| 1932559069 | Julia Prentice | Counselor | 920 Cresta Way, #6, San Rafael, CA 94903-5573 | 2016-06-20 |
| 1033572771 | Henry Colbert | Counselor | 1 St. St. Vincent Drive, San Rafael, CA 94903 | 2016-03-31 |
| 1033528575 | Diane Louise Ray | Counselor | 4 Majorca Ct, San Rafael, CA 94903-1520 | 2014-08-08 |
| 1487072542 | Julie Lehman | Counselor | 1717 5th Ave Ste E, San Rafael, CA 94901-1810 | 2014-04-04 |
| 1073867081 | Lisa Ann Kubiak | Counselor | 900 Mission Ave, San Rafael, CA 94901-6108 | 2012-10-30 |
| 1740530815 | Deborah Ann Spake | Counselor | 712 D St. Suite P, San Rafael, CA 94901 | 2012-09-14 |
| 1386993210 | Sarah Tischler Aikin | Counselor | 555 Northgate Drive, Suite 100, Family Service Agency of Marin, San Rafael, CA 94903-3680 | 2012-09-06 |
| 1477810182 | Amanda Gloria Jean Conn | Counselor | 980 Lincoln Ave Ste 250, San Rafael, CA 94901-8802 | 2012-04-19 |
| 1558647487 | Katherine O Bregar | Counselor | 361 Third St. Suite G, San Rafael, CA 94901 | 2011-10-24 |
| Find all providers in SAN RAFAEL | ||||
| City | SAN RAFAEL |
| Zip Code | 94903 |
Please comment or provide details below to improve the information on MS. WENDY WISHART.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.