Individual provider Active NPI

Robin L Wain

  • Counselor
  • San Mateo, CA
National Provider Identifier
1225178536
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
136 N San Mateo Dr
Suite 101
San Mateo, CA 94401-2777
Phone
(650) 373-0777
Fax
(650) 373-0778
NPI assigned
Feb 7, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU Primary

Addresses

Primary practice location

136 N San Mateo Dr
Suite 101
San Mateo, CA 94401-2777

Mailing address

618 Heller St
Apt. #2
Redwood City, CA 94063-5400
Phone (845) 594-9021

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": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225178536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 HELLER ST",
            "address_2": "APT. #2",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940635400",
            "telephone_number": "845-594-9021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 N SAN MATEO DR",
            "address_2": "SUITE 101",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012777",
            "telephone_number": "650-373-0777",
            "fax_number": "650-373-0778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAIN",
        "first_name": "ROBIN",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.