Deep Wellness Center Child & Family Inc

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT 52611 Issued in CA

Legal business name

DEEP WELLNESS CENTER CHILD & FAMILY INC

Practice address

5815 Stoddard Rd Ste 600
Modesto, CA 95356-9041

Phone

(209) 665-6857

NPI assigned

Jul 8, 2015

Last updated

Jul 8, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ramandeep Dhaliwal, M.S. LMFTNPI 1316071483

Title

Marriage & Family Therapist

Phone

(209) 665-6857

Specialties & licenses 5

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ramandeep Dhaliwal, MS, LMFT

  • Marriage & Family Therapist
  • Modesto, CA
  • NPI 1316071483
  Authorized official Same address or phone
• Jaspreet Singh Dhaliwal

  • Marriage & Family Therapist
  • Modesto, CA
  • NPI 1598612582
  NPD (past)

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

{
    "created_epoch": "1436313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436313600000",
    "number": "1760865794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5815 STODDARD RD STE 600",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953569041",
            "telephone_number": "209-665-6857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5815 STODDARD RD STE 600",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953569041",
            "telephone_number": "209-665-6857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEEP WELLNESS CENTER CHILD & FAMILY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-08",
        "last_updated": "2015-07-08",
        "status": "A",
        "authorized_official_last_name": "DHALIWAL",
        "authorized_official_first_name": "RAMANDEEP",
        "authorized_official_title_or_position": "MARRIAGE & FAMILY THERAPIST",
        "authorized_official_telephone_number": "209-665-6857",
        "authorized_official_credential": "M.S. LMFT"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT 52611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Decker-Callison
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• Christopher Brandon Deen
• Danielle B Deen
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• Steven Deford, M.D.
• Quentin Michael Deforest, B.A.
• Sean Kirby Degmetich, STUDENT
• John Benjamin Degraft-Johnson, M.D.,

• Marriage & Family Therapist in Modesto, CA
• Providers in Modesto, 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 Jul 8, 2015; 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.