Active NPI
Marie Allison Wyatt
- Counselor
- San Francisco, CA
National Provider Identifier
1598804072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 1 Quartz Way
San Francisco, CA 94131-1635 - Phone
- (415) 285-5466
- NPI assigned
- Feb 5, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
1 Quartz Way
San Francisco, CA 94131-1635
Mailing address
1 Quartz Way
San Francisco, CA 94131-1635
Phone (415) 285-5466
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211018001234 | NY | Order and Referring Only - Clinical Social Worker | 8123426467 |
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": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1598804072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 QUARTZ WAY",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941311635",
"telephone_number": "415-285-5466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 QUARTZ WAY",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941311635",
"telephone_number": "415-285-5466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYATT",
"first_name": "MARIE",
"middle_name": "ALLISON",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.