Active NPI
Natasha Anna Wiegand, MFTI
- Marriage & Family Therapist
- San Mateo, CA
National Provider Identifier
1033355862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 51170
- Practice address
- 36 37TH Ave
San Mateo, CA 94403-4405 - Phone
- (650) 295-2160
- NPI assigned
- Dec 29, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 51170 | CA | Primary |
Addresses
Primary practice location
36 37TH Ave
San Mateo, CA 94403-4405
Mailing address
24 Glenbrook Ave
Daly City, CA 94015-3810
Phone (415) 676-7660
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51170 | Other | CA | STATE OF CALIFORNIA BOARD OF BEHAVIORAL SCIENCES |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1230508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1230508800000",
"number": "1033355862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 GLENBROOK AVE",
"city": "DALY CITY",
"state": "CA",
"postal_code": "940153810",
"telephone_number": "415-676-7660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 37TH AVE",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944034405",
"telephone_number": "650-295-2160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIEGAND",
"first_name": "NATASHA",
"middle_name": "ANNA",
"credential": "MFTI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-29",
"last_updated": "2008-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "51170",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF CALIFORNIA BOARD OF BEHAVIORAL SCIENCES",
"identifier": "51170",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Mateo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.