MICHAEL WARREN WILCOX (NPI# 1619426046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619426046 |
| Entity Type | Individual |
| Full Name | MICHAEL WARREN WILCOX |
| Credential | M.A., M.A. |
| Practice Address |
1622 4th St Santa Rosa CA 95404-4020 |
| Practice Telephone | 4078207731 |
| Mailing Telephone | 4078207731 |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2020-01-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
15419 | FL | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
APCC4902 | CA | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
4902 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2227 Capricorn Way Ste 207, Santa Rosa, CA 954075486 | 7075657801 | |
| 5213 El Mercado Pkwy Ste A, Santa Rosa, CA 954031301 | 4075711714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073849808 | Michael A. Wilcox | Dentist | 7170 Hwy 49, Lotus, CA 95651-0944 | 2009-10-29 |
| 1801814504 | Michael Robert Wilcox | Emergency Medicine | 310 1st Ave Nw, New Prague, MN 56071-1403 | 2006-07-18 |
| 1447880414 | Michael Lee Wilcox | Pharmacist | Landstuhl Regional Medical Center, Bldg 3767 Patterson Road, Landstuhl, RHEINLAND-PFALZ 66849 | 2020-01-18 |
| 1285719724 | Michael Dean Wilcox | Social Worker | 2400 S 48th St, Springdale, AR 72762-6683 | 2006-10-25 |
| 1891892683 | Michael David Wilcox | Psychiatry & Neurology | 171 Ashley Ave, Charleston, SC 29425-0001 | 2006-09-20 |
| 1689618803 | Michael G. Wilcox | Surgery | 2900 12th Ave N, Suite 355w, Billings, MT 59101-7506 | 2006-06-16 |
| 1881668655 | Michael J Wilcox | Internal Medicine | 55 W Tietan St, Walla Walla, WA 99362-4445 | 2006-02-16 |
| 1053391771 | Michael B Wilcox | Ophthalmology | 4360 Washington Blvd, Ogden, UT 84403 | 2006-01-19 |
| Street Address |
1622 4TH ST |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95404-4020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336237940 | Linda Lee Kinzler | Social Worker | 1622 4th St, Santa Rosa, CA 95404-4020 | 2006-10-10 |
| 1376176578 | Lisa Marie Tannehill | Marriage & Family Therapist | 1622 4th St, Santa Rosa, CA 95404-4020 | 2020-02-15 |
| 1740830389 | Kendall Individual, Family and Marriage Therapists, Inc | Marriage & Family Therapist | 1622 4th St, Santa Rosa, CA 95404-4020 | 2019-09-16 |
| 1306495882 | Katherine Grace Flinn | Social Worker | 1622 4th St, Santa Rosa, CA 95404-4020 | 2019-09-08 |
| 1912553231 | Rhonda C Robertson | Marriage & Family Therapist | 1622 4th St, Santa Rosa, CA 95404-4020 | 2019-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442217 | David Lee Dutton | Counselor | 201 S. E Street, Santa Rosa, CA 95404 | 2020-09-16 |
| 1114492162 | Jesse Earl Rathbun Jr. | Ophthalmology | 1920 Grace Dr., Santa Rosa, CA 95404 | 2018-10-05 |
| 1568958437 | Bianca Avina | Marriage & Family Therapist | 95 Montgomery Dr. #112, Santa Rosa, CA 95404 | 2018-07-03 |
| 1366940504 | New Leaf Counseling and Psychotherapy | Marriage & Family Therapist | 1030 2n Street, Suite B, Santa Rosa, CA 95404 | 2018-01-23 |
| 1659884864 | Jessica Vargas Lopez | Counselor | 3333 Chanate Road, Santa Rosa, CA 95404 | 2017-11-09 |
| 1982135992 | Gaea Keridwyn Coon | Marriage & Family Therapist | 884 Third Street, Suite D, Santa Rosa, CA 95404 | 2017-03-22 |
| 1376084699 | Empire Traditional Chinese Medicine | Acupuncturist | 1030 Second St, Santa Rosa, CA 95404 | 2017-03-20 |
| 1356888705 | Webster Surgery Center, Lp | Clinic/Center | 730 Bennett Valley Road, Santa Rosa, CA 95404 | 2017-01-24 |
| 1205295979 | Sandra Lee Krikorian | Social Worker | 101 E Street, Suite 312, Santa Rosa, CA 95404 | 2016-02-23 |
| 1396134615 | The Center for Body Oriented Psychotherapy & Wellness | Psychologist | 1626 Fourth Street, Santa Rosa, CA 95404 | 2015-01-12 |
| Find all providers in zip 95404 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407492101 | Jeremy Berlin | Counselor | 5755 Mountain Hawk Dr Ste 201, Santa Rosa, CA 95409-4451 | 2019-11-18 |
| 1073069969 | Pauline Laurent | Counselor | 2727 Tachevah Dr Apt 24, Santa Rosa, CA 95405-8441 | 2016-08-30 |
| 1518314905 | Katherine Nguyen | Counselor | 576 B St Ste 1a, Santa Rosa, CA 95401-5269 | 2016-05-16 |
| 1538531918 | Gabrielle M Simmons | Counselor | 1625 Terrace Way Ste C, Santa Rosa, CA 95404-3035 | 2015-10-26 |
| 1417397829 | Kim Mcgrath | Counselor | 865 3rd St Ste 103, Santa Rosa, CA 95404-4518 | 2013-06-28 |
| 1487804993 | Robin Lynn Reiss | Counselor | 369 Casa Manana Road Room G, Santa Rosa, CA 95409 | 2008-09-22 |
| 1700943123 | Jennifer G. Brandt | Counselor | 3558 Roundbarn Blvd, Santa Rosa, CA 95403-1780 | 2007-01-03 |
| 1780297101 | Mishale Ann Rede Ballinger | Counselor | 405 Jackson Dr, Santa Rosa, CA 95409-4209 | 2020-08-25 |
| 1164055927 | Sunrise Clinics | Counselor | 117 Camino De Vida, Santa Rosa, NM 88435-2267 | 2020-02-19 |
| 1598307027 | Stephanie Lopez Amaya | Counselor | 2447 Summerfield Rd, Santa Rosa, CA 95405-7815 | 2019-10-16 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95404 |
Please comment or provide details below to improve the information on MICHAEL WARREN WILCOX.
| 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.