Active NPI
Simson, Wynn and Williams
- Substance Use Disorder Rehabilitation Clinic/Center
- Fair Oaks, CA
National Provider Identifier
1003165580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- Legal business name
- SIMSON, WYNN AND WILLIAMS
- Doing business as
- Welcome
- Practice address
- 7844 Madison Ave
Suite 106
Fair Oaks, CA 95628-3519 - Phone
- (916) 476-6301
- NPI assigned
- Aug 30, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sally Wynn, DR.AD, MCA, MRAS
- Title
- Partner/Counselor
- Phone
- (916) 476-6301
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | |||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Primary |
Addresses
Primary practice location
7844 Madison Ave
Suite 106
Fair Oaks, CA 95628-3519
Mailing address
7844 Madison Ave
Suite 106
Fair Oaks, CA 95628-3519
Phone (916) 476-6301
Other names 1
- Welcome
National Provider Directory
National Provider Directory- Tax ID family
- Simson Wynn and Williams
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Counselor
- Fair Oaks, CA
- NPI 1982954269
Locations
7844 Madison Ave
Ste 106
Fair Oaks, CA 95628
Phone (916) 476-6301
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346284800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1346284800000",
"number": "1003165580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7844 MADISON AVE",
"address_2": "SUITE 106",
"city": "FAIR OAKS",
"state": "CA",
"postal_code": "956283519",
"telephone_number": "916-476-6301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7844 MADISON AVE",
"address_2": "SUITE 106",
"city": "FAIR OAKS",
"state": "CA",
"postal_code": "956283519",
"telephone_number": "916-476-6301"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SIMSON, WYNN AND WILLIAMS",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-30",
"last_updated": "2012-08-30",
"status": "A",
"authorized_official_last_name": "WYNN",
"authorized_official_first_name": "SALLY",
"authorized_official_title_or_position": "PARTNER/COUNSELOR",
"authorized_official_telephone_number": "916-476-6301",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DR.AD, MCA, MRAS"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Welcome",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fair Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.