Active NPI
Robert L. Wynne, ROBERT WYNNE, PH.D.
- Professional Counselor
- San Francisco, CA
National Provider Identifier
1669497004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- MFC27612
- Practice address
- 2142 Sutter St
San Francisco, CA 94115-3120 - Phone
- (415) 979-8683
- Fax
- (415) 771-4466
- NPI assigned
- Jul 13, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | MFC27612 | CA | Primary |
Addresses
Primary practice location
2142 Sutter St
San Francisco, CA 94115-3120
Mailing address
2142 Sutter St
San Francisco, CA 94115-3120
Phone (415) 979-8683
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC27612 | CA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669497004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2142 SUTTER ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941153120",
"telephone_number": "415-979-8683",
"fax_number": "415-771-4466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2142 SUTTER ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941153120",
"telephone_number": "415-979-8683",
"fax_number": "415-771-4466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYNNE",
"first_name": "ROBERT",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "ROBERT WYNNE, PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "MFC27612",
"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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.