Organization Active NPI

Simson, Wynn and Williams

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Fair Oaks, CA
National Provider Identifier
1003165580
Registry record updated Aug 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
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

Updated by the provider on Aug 30, 2012

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Simson Wynn and Williams2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.