Active NPI
John Arnold Wyman, LCSW
- Clinical Social Worker
- Napa, CA
National Provider Identifier
1215161476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 24824
- Practice address
- 2180 Jefferson St
Suite 214
Napa, CA 94559-1250 - Phone
- (707) 815-0592
- NPI assigned
- May 3, 2009
- Last updated
- Jan 23, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 24824 | CA | Primary |
Addresses
Primary practice location
2180 Jefferson St
Suite 214
Napa, CA 94559-1250
Mailing address
2180 Jefferson St
Suite 214
Napa, CA 94559-1250
Phone (707) 815-0592
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24824 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390435200000",
"number": "1215161476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2180 JEFFERSON ST",
"address_2": "SUITE 214",
"city": "NAPA",
"state": "CA",
"postal_code": "945591250",
"telephone_number": "707-815-0592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2180 JEFFERSON ST",
"address_2": "SUITE 214",
"city": "NAPA",
"state": "CA",
"postal_code": "945591250",
"telephone_number": "707-815-0592"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYMAN",
"first_name": "JOHN",
"middle_name": "ARNOLD",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-05-03",
"last_updated": "2014-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "24824",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Napa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.