Jeffery Douglas Wilfong, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

46654 Issued in CA

Practice address

650 University Ave Ste 108
Sacramento, CA 95825-6726

Phone

(530) 864-3218

Fax

(916) 250-3926

NPI assigned

Jan 10, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1023167749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1023",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956281023",
            "telephone_number": "530-864-3218",
            "fax_number": "916-250-3926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 UNIVERSITY AVE STE 108",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958256726",
            "telephone_number": "530-864-3218",
            "fax_number": "916-250-3926"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4160 Brookhill Dr",
            "address_purpose": "LOCATION",
            "city": "Fair Oaks",
            "state": "CA",
            "postal_code": "956286921",
            "country_code": "US",
            "telephone_number": "530-864-3218 x1",
            "fax_number": "916-250-3926",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILFONG",
        "first_name": "JEFFERY",
        "middle_name": "DOUGLAS",
        "name_prefix": "Mr.",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "46654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pia Jane Wilder
• Sara Ann Wildermuth, M.PT
• Earnest Jeffery Wiles, PH.D.
• Dale Glenn Wiley
• Noel Janette Wiley
• Wilfredo R Ramos MD, Inc
• Ryan Wilgus, D.D.S.
• Ashley Wilhelm
• Grant Wilhelm, MD
• Michael David Wilhelm, PA-C

• Marriage & Family Therapist in Sacramento, CA
• Providers in Sacramento, 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 Oct 7, 2024; 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.