Individual provider Active NPI

Sylvia Veronica Whitlock, PH.D. M.A.

  • Marriage & Family Therapist
  • Upland, CA
National Provider Identifier
1679795850
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC37262 Issued in CA
Practice address
600 N Mountain Ave
Suite D-202
Upland, CA 91786-4359
Phone
(909) 982-6800
Fax
(909) 949-4394
NPI assigned
May 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 MFC37262 CA Primary

Addresses

Primary practice location

600 N Mountain Ave
Suite D-202
Upland, CA 91786-4359

Mailing address

600 N Mountain Ave
Suite D-202
Upland, CA 91786-4359
Phone (909) 982-6800

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
Master of Arts, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MFC37262CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679795850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N MOUNTAIN AVE",
            "address_2": "SUITE D-202",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864359",
            "telephone_number": "909-982-6800",
            "fax_number": "909-949-4394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N MOUNTAIN AVE",
            "address_2": "SUITE D-202",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864359",
            "telephone_number": "909-982-6800",
            "fax_number": "909-949-4394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITLOCK",
        "first_name": "SYLVIA",
        "middle_name": "VERONICA",
        "name_prefix": "Dr.",
        "credential": "PH.D. M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC37262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, 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.

Verify at the official NPI Registry.