Active NPI
Wendy Emerson, AMFT
- Marriage & Family Therapist
- Gilroy, CA
National Provider Identifier
1174090831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 91022
- Practice address
- 9015 Murray Ave Ste 100
Gilroy, CA 95020-3617 - Phone
- (408) 842-7138
- NPI assigned
- Oct 30, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | 91022 | CA | Primary |
Addresses
Primary practice location
9015 Murray Ave Ste 100
Gilroy, CA 95020-3617
Mailing address
6444 E Spring St Ste 283
Long Beach, CA 90815-1553
Phone (714) 270-1474
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 91022 | Other | CA | BOARD OF BEHAVIORAL SCIENCES OF CALIFORNIA |
Other names 1
- Wendy Carr
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": "1540857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540857600000",
"number": "1174090831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6444 E SPRING ST STE 283",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908151553",
"telephone_number": "714-270-1474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9015 MURRAY AVE STE 100",
"city": "GILROY",
"state": "CA",
"postal_code": "950203617",
"telephone_number": "408-842-7138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMERSON",
"first_name": "WENDY",
"credential": "AMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-30",
"last_updated": "2018-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "91022",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF BEHAVIORAL SCIENCES OF CALIFORNIA",
"identifier": "91022",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "WENDY",
"last_name": "CARR",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Gilroy, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.