WINSTON WILDE (NPI# 1760804744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760804744 |
| Entity Type | Individual |
| Full Name | WINSTON WILDE |
| Credential | MFC |
| Practice Address |
71777 San Jacinto Dr Suite 204 Rancho Mirage CA 92270-4457 |
| Practice Telephone | 7607733463 |
| Mailing Telephone | 7607733463 |
| Enumeration Date | 2014-01-10 |
| Last Update Date | 2014-01-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MFC 39060 | CA | Behavioral Health & Social Service Providers |
| Street Address |
71777 SAN JACINTO DR SUITE 204 |
| City | RANCHO MIRAGE |
| State | CA |
| Zip Code | 92270-4457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760463863 | Desert Medical Group-mirage Outpatient Center | Surgery | 71777 San Jacinto Dr, Rancho Mirage, CA 92270-4457 | 2005-11-07 |
| 1538701628 | Elizabeth Montane | Registered Nurse | 71777 San Jacinto Dr, Rancho Mirage, CA 92270-3543 | 2019-10-10 |
| 1609439892 | David Bornstein | Nurse Practitioner | 71777 San Jacinto Dr, Rancho Mirage, CA 92270-4457 | 2019-04-15 |
| 1235504994 | Leslie Miller Price | Nurse Practitioner | 71777 San Jacinto Dr, Suite 202, Rancho Mirage, CA 92270-4457 | 2015-12-07 |
| 1861866840 | William Jason Stotts | Marriage & Family Therapist | 71777 San Jacinto Dr, Suite 204, Rancho Mirage, CA 92270-4457 | 2015-11-13 |
| 1801265541 | Kaitlin Alyce Madary | Registered Nurse | 71777 San Jacinto Dr, Rancho Mirage, CA 92270-4457 | 2015-09-23 |
| 1710389895 | Gai Mei Wong | Physician Assistant | 71777 San Jacinto Dr, Suite 101g, Rancho Mirage, CA 92270-4457 | 2014-09-21 |
| 1497021646 | Allison Harris | Nurse Practitioner | 71777 San Jacinto Dr, Suite 202, Rancho Mirage, CA 92270-4457 | 2012-03-31 |
| 1346201811 | Gilberto C. Russo | Surgery | 71777 San Jacinto Dr, Ste 101g, Rancho Mirage, CA 92270-4457 | 2006-03-31 |
| 1306813936 | Kay L. Vogt | Psychologist | 71777 San Jacinto Dr, Rancho Mirage, CA 92270-4457 | 2006-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235757824 | Monsetrrat Martinez | Behavioral Analyst | 69930 Ca-111, Ste 118, Rancho Mirage, CA 92270 | 2020-07-09 |
| 1306475785 | Christine Palmares | Student in an Organized Health Care Education/Training Program | 39000 Bob Hope Drive, Achs-gme Office, Rancho Mirage, CA 92270 | 2020-04-07 |
| 1821627449 | Dino Mellone | Student in an Organized Health Care Education/Training Program | 39000 Bob Hope Drive, Achs-gme Office Ste. 201, Rancho Mirage, CA 92270 | 2020-04-06 |
| 1356970164 | Chris Kim | Student in an Organized Health Care Education/Training Program | Eisenhower Health Emergency Medicine Residency, 39000 Bob Hope Dr., Achs-gme Office, Rancho Mirage, CA 92270 | 2020-04-03 |
| 1609434075 | Junko Ohara | Student in an Organized Health Care Education/Training Program | Eisenhower Health Internal Medicine Residency, 39000 Bob Hope Drive, Achs-gme Office, Rancho Mirage, CA 92270 | 2019-05-31 |
| 1245791896 | Iman Rasheed | Student in an Organized Health Care Education/Training Program | 3900 Bob Hope Drive, Achs-gme Office, Rancho Mirage, CA 92270 | 2019-03-27 |
| 1073086583 | Robert B Greene | Internal Medicine | 8 Moon Lake Drive, Rancho Mirage, CA 92270 | 2019-01-08 |
| 1356818884 | Kade Bartschi | Dentist | 1591 Griffin Rd, 29 Palms, CA 92270 | 2018-11-02 |
| 1841775392 | Rose Pharmacy Rm LLC | Pharmacy | 35400 Bob Hope Drive, Suite #207, Rancho Mirage, CA 92270 | 2018-10-01 |
| 1235615956 | Trang Huyen Nguyen | Dentist | 71-817 Hwy 111 Suite A, Rancho Mirage, CA 92270 | 2018-07-16 |
| Find all providers in zip 92270 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972131456 | Laura Garcia Echeverria | Marriage & Family Therapist | 71687 Highway 111 Ste 205, Rancho Mirage, CA 92270-4515 | 2020-03-30 |
| 1386113595 | Jessica Rochelle Mclaughlin | Marriage & Family Therapist | 42673 Ocotillo Dr Apt 2, Rancho Mirage, CA 92270-4361 | 2018-11-16 |
| 1821578949 | Deborah Marie Lee | Marriage & Family Therapist | 69848 Highway 111, Rancho Mirage, CA 92270-2837 | 2018-08-17 |
| 1104182823 | Lisa Corey | Marriage & Family Therapist | 41750 Rancho Las Palmas Dr Ste K-1, Rancho Mirage, CA 92270-5514 | 2012-04-06 |
| 1740578392 | Abigael Mary Carmen Newell | Marriage & Family Therapist | 71770 San Gorgonio Rd, Rancho Mirage, CA 92270-4246 | 2011-07-18 |
| 1619115706 | Starr Sullivan | Marriage & Family Therapist | 70115 Highway 111, Rancho Mirage, CA 92270-2915 | 2009-01-27 |
| 1023269404 | Sunshine S Godwin | Marriage & Family Therapist | The Kiloby Center for Recovery, 71-777 San Jacinto Drive, Rancho Mirage, CA 92270 | 2008-10-03 |
| 1174722508 | Amy Austin | Marriage & Family Therapist | 69844 Highway 111 Ste H, Rancho Mirage, CA 92270-2849 | 2007-07-16 |
| 1275732919 | Gary Francis Lange | Marriage & Family Therapist | 41-750 Rancho Las Palmas Drive, Suite K-4, Rancho Mirage, CA 92270 | 2007-07-12 |
| 1174653349 | Leslie Cole | Marriage & Family Therapist | 71777 San Jacinto Dr Ste 204, Rancho Mirage, CA 92270 | 2007-03-06 |
| Find all providers in RANCHO MIRAGE | ||||
| City | RANCHO MIRAGE |
| Zip Code | 92270 |
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| 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.