DR. MICHELLE MARIE WAMBACH


Address: 4020 Moorpark Ave Ste 206, San Jose, CA 95117-1846
Phone: 4082797909

DR. MICHELLE MARIE WAMBACH (NPI# 1619507472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619507472
Entity Type Individual
Full Name DR. MICHELLE MARIE WAMBACH
Credential LMFT, PSY.D
Practice Address 4020 Moorpark Ave Ste 206
San Jose
CA 95117-1846
Practice Telephone 4082797909
Mailing Telephone 4082477909
Enumeration Date 2020-01-21
Last Update Date 2020-01-21
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106H00000X Marriage & Family Therapist MFC41571 CA Behavioral Health & Social Service Providers
N 106H00000X Marriage & Family Therapist 41571 CA Behavioral Health & Social Service Providers

Office Location

Street Address 4020 MOORPARK AVE STE 206
City SAN JOSE
State CA
Zip Code 95117-1846

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154978385 Rebecca Giordano St George Marriage & Family Therapist 390 Spar Avenue Suite 106, San Jose, CA 95117 2019-08-22
1760035067 Na Bao Inc Acupuncturist 631 Rebecca Way, Apt D, San Jose, CA 95117 2019-07-17
1801364823 Acupuncture & Healing Inc Acupuncturist 4155 Moorpark Ave Ste #13, San Jose, CA 95117 2018-11-07
1689199770 Youngsu Lyu Chiropractor 4010 Moorpark Ave Ste 109, San Jose, CA 95117 2017-08-09
1790139137 January Villarreal Speech-Language Pathologist 4010 Moorpark Ave. #117, San Jose, CA 95117 2016-04-22
1780069187 Il Hwan Park Chiropractic Clinic Chiropractor 4155 Moorpark Avenue, Suite 1, San Jose, CA 95117 2015-07-27
1285077073 John Lockhart Mcelroy Family Medicine 3578 Moultrie Ave., San Diego, CA 95117 2013-04-10
1801134036 Min Jung Kang Acupuncturist 4155 Moorpark Ave Ste 20, San Jose, CA 95117 2013-01-23
1356574420 Scott Svendsen Chiropractor 3531 Stevens Creek Blvd., San Jose, CA 95117 2009-08-24
1316191893 Christopher Corsa Dentist 4010 Moorpark Ave Ste 105, San Jose, CA 95117 2008-11-10
Find all providers in zip 95117

Taxonomy Information

Taxonomy Code 106H00000X
Grouping Behavioral Health & Social Service Providers
Classification Marriage & Family Therapist

Taxonomy Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598372377 Ratzburg Family Counseling Corporation Marriage & Family Therapist 465 Chinook Ln, San Jose, CA 95123-3311 2020-09-25
1285245431 Carmen J. Frank Marriage & Family Therapist 913 Willow St., Suite 103, San Jose, CA 95125 2020-08-12
1083230981 Joanna Leigh Carson-young Marriage & Family Therapist 1769 Park Ave Ste 220, San Jose, CA 95126-2025 2020-06-17
1144857467 Glenn M Tanimura Marriage & Family Therapist 1079 Noble Ln, San Jose, CA 95132-3128 2020-03-25
1265067185 Of Two Minds Psychotherapy Marriage & Family Therapist 190 S. Bascom Ave, Ste 130, San Jose, CA 95128 2020-03-11
1992339196 Brenda Ann Farrell Marriage & Family Therapist 1625 The Alameda Ste 711, San Jose, CA 95126-2225 2020-02-26
1699313080 Juan Carlos Mercado Marriage & Family Therapist 290 North 2nd St, San Jose, CA 95112 2019-12-16
1497398002 Veronica Marie Ayala Marriage & Family Therapist 840 Guadalupe Pkwy Fl 2, San Jose, CA 95110-1714 2019-10-26
1700428224 Lynn Huggins Marriage & Family Therapist 1625 The Alameda Ste 304, San Jose, CA 95126-2223 2019-10-16
1942842216 Jodie Pierce Marriage & Family Therapist 871 Enborg Lane, San Jose, CA 95128 2019-10-08
Find all providers in SAN JOSE

Competitor

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City SAN JOSE
Zip Code 95117

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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