Richard Mark Winetzky, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC 50274 Issued in CA

Practice address

1700 S Amphlett Blvd
Suite 250D
San Mateo, CA 94402-2701

Phone

(650) 863-7753

Fax

(650) 312-1144

NPI assigned

May 24, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1134330855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "969G EDGEWATER BLVD # 846",
            "city": "FOSTER CITY",
            "state": "CA",
            "postal_code": "944043760",
            "telephone_number": "415-609-2530",
            "fax_number": "650-312-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 S AMPHLETT BLVD",
            "address_2": "SUITE 250D",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022701",
            "telephone_number": "650-863-7753",
            "fax_number": "650-312-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINETZKY",
        "first_name": "RICHARD",
        "middle_name": "MARK",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 50274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "The Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "777 Davis St",
            "city": "San Leandro",
            "state": "CA",
            "country_code": "US",
            "postal_code": "94577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Adam Deforest Wilson, PH.D.
• Julia Lindsay Wilson, RN, PHN
• Malia Wilson
• Michael Alejandro Wilson
• Khin Sandi Win, DO
• Charles E Winkelstein, M.D.
• Judith Winkelstein
• Sylvia M Winn
• Stephanie Macallister Winter
• Philip George Winters, D.D.S.

• Marriage & Family Therapist in San Mateo, CA
• Providers in San Mateo, 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 Feb 11, 2022; 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.