William Gordon Hoban, MA,PSYCHOLOGY

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

MFT25572 Issued in CA

Practice address

2619 Spring Oaks Dr
Santa Rosa, CA 95405-9137

Phone

(805) 630-0911

NPI assigned

May 11, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1659017648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2619 SPRING OAKS DR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954059137",
            "telephone_number": "805-630-0911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2619 SPRING OAKS DR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954059137",
            "telephone_number": "805-630-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOBAN",
        "first_name": "WILLIAM",
        "middle_name": "GORDON",
        "credential": "MA,PSYCHOLOGY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-11",
        "last_updated": "2022-05-11",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "MFT25572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anh Kendrick Hoang, DO
• Anna Hoang, DC
• Quyen Hoang, PHARM D
• Vunghi Hoang, M.D.
• Mara Marie Hoban, RDH
• Callie Hobbs, FNP
• Vergil Hobbs, PH.D
• Robert Peter Hobson, PHD
• Sue E Hocker
• Eric Michael Hodes, MD

• Addiction (Substance Use Disorder) Counselor in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.