Russell Wilkie, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC29758 Issued in CA

Practice address

1625 The Alameda Ste 515
San Jose, CA 95126-2224

Phone

(408) 529-1975

NPI assigned

Jan 23, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773964800000",
    "number": "1558415703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3193",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945780193",
            "telephone_number": "408-529-1975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 THE ALAMEDA STE 515",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951262224",
            "telephone_number": "408-529-1975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKIE",
        "first_name": "RUSSELL",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC29758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PROVIDER NUMBER",
            "identifier": "1558415703",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brianna Wiley
• Timothy Earl Wiley, RDO
• Kelly Wilhelm
• Briana Rose Evangelista Wilkerson
• Jaden Wilkes, LMFT, APCC
• Alicia Nicole Wilkins
• Jacob Wilkins
• Lori Wilkinson Rella, MA, LMFT
• John Taylor Wilkinson, D.D.S., M.S.D.
• Shannon J Wilkowski

• Marriage & Family Therapist in San Jose, CA
• Providers in San Jose, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2026; 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.