Thi Tran Wlodarski

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

99701 Issued in CA

Practice address

2878 Camino del Rio S Ste 200
San Diego, CA 92108-3845

Phone

(619) 784-6793

NPI assigned

May 12, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 9, 2024 through Jan 9, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Family Systems and Child Therapy, Inc.

  • Marriage & Family Therapist
  • San Diego, CA
  • NPI 1679031736
  NPD (past) Authorized official

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

{
    "created_epoch": "1399852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551916800000",
    "number": "1104237254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2878 CAMINO DEL RIO S STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083845",
            "telephone_number": "619-784-6793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2878 CAMINO DEL RIO S STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083845",
            "telephone_number": "619-784-6793"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3605 Vista Way",
            "address_2": "Suite 258",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "920564565",
            "country_code": "US",
            "telephone_number": "760-758-1480",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2423 Camino Del Rio S Ste 101",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921083734",
            "country_code": "US",
            "telephone_number": "619-784-6703",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16959 Bernardo Center Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921282555",
            "country_code": "US",
            "telephone_number": "619-784-6703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WLODARSKI",
        "first_name": "THI",
        "middle_name": "TRAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-12",
        "last_updated": "2019-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "87726",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "99701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randal Joseph Wittry, MSW
• Angela J Witucki, O.T.
• Joseph L Witztum, M.D.
• Michael Trey Wix, IDC
• Christopher Rich Wixom, M.D.
• Kelsea Renee Wochaski, MS, BCBA
• Alexander Samuel Woehlbrandt, PT, DPT
• Anna Woertler, CNM, WHNP
• Katharine M. Woessner, M.D.
• Rachel Wofford

• Marriage & Family Therapist in San Diego, CA
• Providers in San Diego, 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 Mar 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.