Individual provider Active NPI

Joanne Grace Silva, MFT

  • Marriage & Family Therapist
  • Santa Rosa, CA
National Provider Identifier
1396088753
Registry record updated Apr 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC35042 Issued in CA
Practice address
3775 Brickway Blvd
Suite 130
Santa Rosa, CA 95403-9051
Phone
(707) 338-0223
Fax
(707) 575-7085
NPI assigned
Apr 3, 2013
Last updated
Apr 3, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2013

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 MFC35042 CA Primary

Addresses

Primary practice location

3775 Brickway Blvd
Suite 130
Santa Rosa, CA 95403-9051

Mailing address

3775 Brickway Blvd
Suite 130
Santa Rosa, CA 95403-9051
Phone (707) 338-0223

Other names 1

  • Joanne Grace Silva-Wendt Former name

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

LicenseStateTypeSpecialty
MFC35042CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364947200000",
    "number": "1396088753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3775 BRICKWAY BLVD",
            "address_2": "SUITE 130",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954039051",
            "telephone_number": "707-338-0223",
            "fax_number": "707-575-7085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3775 BRICKWAY BLVD",
            "address_2": "SUITE 130",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954039051",
            "telephone_number": "707-338-0223",
            "fax_number": "707-575-7085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVA",
        "first_name": "JOANNE",
        "middle_name": "GRACE",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-03",
        "last_updated": "2013-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC35042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOANNE",
            "last_name": "SILVA-WENDT",
            "middle_name": "GRACE",
            "credential": "MFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2013; 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.