Organization Active NPI

Sequoia TMS PC

  • Psychiatry Physician
  • Santa Rosa, CA
National Provider Identifier
1104374768
Registry record updated Sep 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
20A13049 Issued in CA
Legal business name
SEQUOIA TMS PC
Practice address
1506 4TH St
Santa Rosa, CA 95404-4018
Phone
(707) 529-9573
Fax
(707) 527-1307
NPI assigned
Sep 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2016

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

Authorized official

Name
Dr. Cuyler Goodwin, DO
Title
President
Phone
(707) 529-9573

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 20A13049 CA Primary

Addresses

Primary practice location

1506 4TH St
Santa Rosa, CA 95404-4018

Mailing address

1506 4TH St
Santa Rosa, CA 95404-4018
Phone (707) 529-9573

Other names 1

  • Sequoia TMS Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1473724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473724800000",
    "number": "1104374768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 4TH ST",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044018",
            "telephone_number": "707-529-9573",
            "fax_number": "707-527-1307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 4TH ST",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044018",
            "telephone_number": "707-529-9573",
            "fax_number": "707-527-1307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEQUOIA TMS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-13",
        "last_updated": "2016-09-13",
        "status": "A",
        "authorized_official_last_name": "GOODWIN",
        "authorized_official_first_name": "CUYLER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-529-9573",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "20A13049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sequoia TMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; 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.