Individual provider Active NPI

Tanya Widiss, R.D., M.F.T.

  • Marriage & Family Therapist
  • Arcadia, CA
National Provider Identifier
1902016140
Registry record updated May 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC23731 Issued in CA
Practice address
444 E. Huntington Drive
#333
Arcadia, CA 91006-6204
Phone
(626) 447-0247
Fax
(626) 447-1443
NPI assigned
May 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC23731 CA Primary
Registered Dietitian 133V00000X
Registered Dietitian 133V00000X R366197

Addresses

Primary practice location

444 E. Huntington Drive
#333
Arcadia, CA 91006-6204

Mailing address

444 E. Huntington Drive
#333
Arcadia, CA 91006-6204
Phone (626) 353-0492

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

LicenseStateTypeSpecialty
MFC23731CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337644800000",
    "number": "1902016140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 E. HUNTINGTON DRIVE",
            "address_2": "#333",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910066204",
            "telephone_number": "626-353-0492",
            "fax_number": "626-445-6818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 E. HUNTINGTON DRIVE",
            "address_2": "#333",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910066204",
            "telephone_number": "626-447-0247",
            "fax_number": "626-447-1443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIDISS",
        "first_name": "TANYA",
        "credential": "R.D., M.F.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2012-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC23731",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "R366197",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; 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.