Dowaun Whitlow

Primary specialty

Licensed Psychiatric TechnicianTaxonomy code 167G00000X

Practice address

1466 Lincoln Ave
San Rafael, CA 94901-2021

Phone

(415) 457-3755

Fax

(415) 457-9516

NPI assigned

Jun 21, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Marin Treatment Center

  • Methadone Clinic
  • San Rafael, CA
  • NPI 1437377421
  NPD

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

{
    "created_epoch": "1655769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1740911759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 ASCOT PKWY APT 925",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945918335",
            "telephone_number": "707-724-9416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1466 LINCOLN AVE",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949012021",
            "telephone_number": "415-457-3755",
            "fax_number": "415-457-9516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITLOW",
        "first_name": "DOWAUN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-21",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "167G00000X",
            "taxonomy_group": "",
            "desc": "Licensed Psychiatric Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dowuan@mtcinc.org",
            "affiliation": "N",
            "address_1": "1466 Lincoln Ave",
            "city": "San Rafael",
            "state": "CA",
            "country_code": "US",
            "postal_code": "949012021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Andrew Whalen X, P.T.
• Wes Whalon, PHN
• Kristin Claire Wheel, L
• Tona Wheeler, OTRL
• Anita Whiteley
• Cassandra Whittington
• Sophie Whynacht, PH.D.
• Elisabeth Regina Widman, MD
• Leticia Wiesner
• Anthony Jason Wiggins, MD

• Licensed Psychiatric Technician in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Licensed Psychiatric Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.