Willa Behavioral Health, Inc

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

WILLA BEHAVIORAL HEALTH, INC

Doing business as

Willa Wellness Center

Practice address

755 Baywood Dr Ste 390
Petaluma, CA 94954-5511

Phone

(707) 888-7393

NPI assigned

Oct 4, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Ashly Marie Thompson

Title

Ceo

Phone

(707) 888-7393

Specialties & licenses 1

Addresses

Other names 1

• Willa Wellness Center Doing business as

Locations

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

{
    "created_epoch": "1664841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708387200000",
    "number": "1376268227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 BAYWOOD DR STE 390",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949545511",
            "telephone_number": "707-888-7393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 BAYWOOD DR STE 390",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949545511",
            "telephone_number": "707-888-7393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLA BEHAVIORAL HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-04",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "ASHLY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "707-888-7393",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willa Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Willa Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carrie Wicks, MA, ATR
• George Wiegand
• Cynthia Wilcox-Rittgers, PH.D.
• Shawn Wilder, LMFT
• Erin M Wilkins, L.AC.
• Sarah Anne Willbergh, OTR/L
• William Cox Dental Corporation
• Cora Williams
• Derek Alan Williams
• Krysta Williams, NP

• Mental Health Clinic/Center (Including Community Mental Health Center) in Petaluma, CA
• Providers in Petaluma, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.