Wynspring Family Resource Center

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

Legal business name

WYNSPRING FAMILY RESOURCE CENTER

Practice address

2211 Park Towne Cir Ste 4
Sacramento, CA 95825-0414

Phone

(916) 480-0280

Fax

(916) 480-0282

NPI assigned

Sep 23, 2020

Organization subpart

No

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

Authorized official

Name

De J Kovill

Title

Executive Director

Phone

(916) 480-0280

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600819200000",
    "number": "1972110088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 71",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956110071",
            "telephone_number": "916-480-0280",
            "fax_number": "916-480-0282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 PARK TOWNE CIR STE 4",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958250414",
            "telephone_number": "916-480-0280",
            "fax_number": "916-480-0282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYNSPRING FAMILY RESOURCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-23",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A",
        "authorized_official_last_name": "KOVILL",
        "authorized_official_first_name": "DE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "916-480-0280"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sally Wynn, SUDCC IV-CS
• Teresa Luz Wynn, LVN
• Lisamarie Christy Wynne, SLP
• Mellany Wynne, DO
• Wynspring Family Resource Center
• Aariona Wysinger, RN
• Benjamin Andrew Wysong
• Dayton Cruz Wyss
• Eliel Jonathan Wyss
• Lydia Maria Wytrzes, M.D.

• Foster Care Agency in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Foster Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; 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.