Willow Marriage Family Therapist Inc.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC42788 Issued in CA

Legal business name

WILLOW MARRIAGE FAMILY THERAPIST INC.

Doing business as

Willow M. Stern MFT

Practice address

450 Park St
Suite 101
Alameda, CA 94501-6295

Phone

(415) 298-1292

Fax

(510) 521-9907

NPI assigned

Mar 14, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Willow M. Stern, MFT

Title

President

Phone

(415) 298-1292

Specialties & licenses 1

Addresses

Other names 1

• Willow M. Stern MFT Doing business as

Locations

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219968000000",
    "number": "1699946806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 PARK ST",
            "address_2": "SUITE 101",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945016295",
            "telephone_number": "415-298-1292",
            "fax_number": "510-521-9907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 PARK ST",
            "address_2": "SUITE 101",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945016295",
            "telephone_number": "415-298-1292",
            "fax_number": "510-521-9907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW MARRIAGE FAMILY THERAPIST INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-14",
        "last_updated": "2008-08-29",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "WILLOW",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-298-1292",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC42788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willow M. Stern MFT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kiya N Williams, HIGH SCHOOL DIPLOMA
• Rickanian Wesley Shandel Williams
• Robyn Raye Williams
• Sage Williams
• Shawnte Williams
• Brandi D Wilson
• Carolyn Lanette Wilson
• Jazlyn Anisha Wilson
• Sequita Rochell Wilson
• Tatanisha Wilson

• Marriage & Family Therapist in Alameda, CA
• Providers in Alameda, 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 Aug 29, 2008; 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.