Individual provider Active NPI

Vickie Williams

  • Marriage & Family Therapist
  • Vacaville, CA
National Provider Identifier
1265741003
Registry record updated Jan 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
82445 Issued in CA
Practice address
1119 E Monte Vista Ave
Vacaville, CA 95688-3009
Phone
(707) 469-4605
Fax
(707) 455-7428
NPI assigned
Sep 28, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 82445 CA Primary

Addresses

Primary practice location

1119 E Monte Vista Ave
Vacaville, CA 95688-3009

Mailing address

2010A Harbison Dr # 612
Vacaville, CA 95687-3900

Other practice location 1

1545 Webster St Ste A
Fairfield, CA 94533-4917
Phone (707) 469-3705

Other practice location 2

1545 Webster St Ste A
Fairfield, CA 94533-4917
Phone (707) 469-3705

Other practice location 3

1545 Webster St Ste A
Fairfield, CA 94533-4917
Phone (707) 469-3705

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1285632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610064000000",
    "number": "1265741003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010A HARBISON DR # 612",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956873900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 E MONTE VISTA AVE",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956883009",
            "telephone_number": "707-469-4605",
            "fax_number": "707-455-7428"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1545 Webster St Ste A",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "CA",
            "postal_code": "945334917",
            "country_code": "US",
            "telephone_number": "707-469-3705",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1545 Webster St Ste A",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "CA",
            "postal_code": "945334917",
            "country_code": "US",
            "telephone_number": "707-469-3705",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1545 Webster St Ste A",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "CA",
            "postal_code": "945334917",
            "country_code": "US",
            "telephone_number": "707-469-3705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "VICKIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-28",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "82445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vacaville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2021; 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.