Active NPI
Rodney Wayne Wooley
- Addiction (Substance Use Disorder) Counselor
- San Jose, CA
National Provider Identifier
1871796755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- A8464804
- Practice address
- 264 N Morrison Ave
San Jose, CA 95126-2741 - Phone
- (408) 885-1003
- NPI assigned
- Jun 7, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | A8464804 | CA | Primary |
Addresses
Primary practice location
264 N Morrison Ave
San Jose, CA 95126-2741
Mailing address
70 Harlan St
Apt 112
San Leandro, CA 94577-5864
Phone (510) 357-8665
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A8464804 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458172800000",
"number": "1871796755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 HARLAN ST",
"address_2": "APT 112",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945775864",
"telephone_number": "510-357-8665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "264 N MORRISON AVE",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951262741",
"telephone_number": "408-885-1003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOLEY",
"first_name": "RODNEY",
"middle_name": "WAYNE",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-07",
"last_updated": "2016-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "A8464804",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.