Individual provider Active NPI

Birgit Magdalena Wolz, PHD

  • Marriage & Family Therapist
  • Occidental, CA
National Provider Identifier
1366519407
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC32637 Issued in CA
Practice address
3886 Deer Meadow LN # 2
Occidental, CA 95465-9287
Phone
(707) 533-7981
Fax
(707) 922-0333
NPI assigned
Nov 30, 2006
Last updated
Aug 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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 MFC32637 CA Primary

Addresses

Primary practice location

3886 Deer Meadow LN # 2
Occidental, CA 95465-9287

Mailing address

3886 Deer Meadow LN # 2
Occidental, CA 95465-9287
Phone (707) 533-7981

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240205000505 CA Practitioner - Marriage and Family Therapist 6709229065 Practice locations: Occidental, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3886 Deer Meadow LN
Suite 2
Occidental, CA 95465-9287
Phone (707) 533-7981

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MFC32637CAMDMarriage & Family Therapist
32637CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1366519407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3886 DEER MEADOW LN # 2",
            "city": "OCCIDENTAL",
            "state": "CA",
            "postal_code": "954659287",
            "telephone_number": "707-533-7981",
            "fax_number": "707-922-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3886 DEER MEADOW LN # 2",
            "city": "OCCIDENTAL",
            "state": "CA",
            "postal_code": "954659287",
            "telephone_number": "707-533-7981",
            "fax_number": "707-922-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLZ",
        "first_name": "BIRGIT",
        "middle_name": "MAGDALENA",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC32637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Occidental, CA

Sources for this page

Verify at the official NPI Registry.