Mira Dhyana Wonderwheel

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

19375 Hwy 116
Monte Rio, CA 95462

Phone

(707) 865-1200

NPI assigned

May 24, 2013

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Redwood Psychology Center, Inc

  • Group Psychotherapy Psychologist
  • Monte Rio, CA
  • NPI 1629196290
  NPD (past)
• Redwood Psychology Center, Inc.

  • Group Psychotherapy Psychologist
  • Monte Rio, CA
  • NPI 1902243330
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 26, 2013.

{
    "created_epoch": "1369353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372204800000",
    "number": "1053758474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 519",
            "city": "MONTE RIO",
            "state": "CA",
            "postal_code": "954620519",
            "telephone_number": "707-865-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19375 HWY 116",
            "city": "MONTE RIO",
            "state": "CA",
            "postal_code": "95462",
            "telephone_number": "707-865-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONDERWHEEL",
        "first_name": "MIRA",
        "middle_name": "DHYANA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-24",
        "last_updated": "2013-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alannah Judith Tomich
• Dina Vineberg
• David Peter Westwood, PSYCHOLOGICAL ASSIST
• Chauntel Wiggins, M.A.
• Maureen Olive Wolfe, RN

• All providers in Monte Rio, CA
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2013; 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.