Northwinds Maui Wellness & Recovery Inc.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT47701 Issued in CA

Legal business name

NORTHWINDS MAUI WELLNESS & RECOVERY INC.

Doing business as

NorthWinds WellTox

Practice address

1711 E Valley Rd
Montecito, CA 93108-2106

Phone

(714) 865-8158

NPI assigned

Sep 7, 2017

Last updated

Sep 7, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Pamela Kathlyn Gerhard-Johnson, LMFTNPI 1124348651

Title

Program Director

Phone

(714) 865-8158

Specialties & licenses 1

Addresses

Other names 1

• NorthWinds WellTox Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Pamela Kathlyn Gerhard-Johnson

  • Marriage & Family Therapist
  • Burbank, CA
  • NPI 1124348651
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504742400000",
    "number": "1013435262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4954 BILOXI AVE",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916014813",
            "telephone_number": "714-865-8158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 E VALLEY RD",
            "city": "MONTECITO",
            "state": "CA",
            "postal_code": "931082106",
            "telephone_number": "714-865-8158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWINDS MAUI WELLNESS & RECOVERY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-07",
        "last_updated": "2017-09-07",
        "status": "A",
        "authorized_official_last_name": "GERHARD-JOHNSON",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "KATHLYN",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "714-865-8158",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT47701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NorthWinds WellTox",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Montecito Specialty Care a Professional Nursing Corp
• Eugene A Morales, LMFT 99419
• Joanne Sharon Moran, PH.D., PSY.D.
• Stephen Michael Nenninger, NMD
• Jason Bryan NG, PHARM.D.
• Occhiali
• Sarah Oh
• Hedyeh Omranipour, PHARM. D.
• Stanley Passy, PH.D.
• Gerardo Perez

• Marriage & Family Therapist in Montecito, CA
• Providers in Montecito, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2017; 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.