Active NPI
Meghan Elizabeth Walsh Woods
- Marriage & Family Therapist
- Santa Rosa, CA
National Provider Identifier
1740892140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 10011
- Practice address
- 2447 Summerfield Rd
Santa Rosa, CA 95405-7815 - Phone
- (707) 544-3299
- NPI assigned
- Aug 18, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Marriage & Family Therapist | 106H00000X | 10011 | CA | Primary |
Addresses
Primary practice location
2447 Summerfield Rd
Santa Rosa, CA 95405-7815
Mailing address
999 Marshall Rd Apt 60
Vacaville, CA 95687-5758
Phone (925) 285-8634
Other practice location 1
300 Hilary Way Apt 38
Vallejo, CA 94591-8346
Phone (925) 285-8634
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Individuals Now, Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Adolescent and Children Mental Health Clinic/Center
- Santa Rosa, CA
- NPI 1790822955
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628035200000",
"number": "1740892140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "999 MARSHALL RD APT 60",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956875758",
"telephone_number": "925-285-8634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2447 SUMMERFIELD RD",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954057815",
"telephone_number": "707-544-3299"
}
],
"practiceLocations": [
{
"address_1": "300 Hilary Way Apt 38",
"address_purpose": "LOCATION",
"city": "Vallejo",
"state": "CA",
"postal_code": "945918346",
"country_code": "US",
"telephone_number": "925-285-8634",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOODS",
"first_name": "MEGHAN",
"middle_name": "ELIZABETH WALSH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-18",
"last_updated": "2021-08-04",
"certification_date": "2021-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "10011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.