SANDRA LYNN WILSON (NPI# 1912569609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912569609 |
| Entity Type | Individual |
| Full Name | SANDRA LYNN WILSON |
| Credential | AMFT |
| Practice Address |
5150 E Pacific Coast Hwy Long Beach CA 90804-3312 |
| Practice Telephone | 5624907600 |
| Mailing Telephone | 5624907600 |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2019-07-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 112689 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245842897 | Sandra D Wilson | Case Manager/Care Coordinator | 5461 Portman Dr, Noblesville, IN 46062-8225 | 2020-08-17 |
| 1265848469 | Sandra Wilson | Physical Therapist | 2899 5 Frks Trickum Rd, Lawrenceville, GA 30044-5803 | 2014-07-08 |
| 1356468441 | Sandra Baird Wilson | Nurse Practitioner | 2005 Prince Avenue, Athens, GA 30606 | 2007-03-23 |
| 1235262056 | Sandra Sloan Wilson | Physical Therapist | 13550 Jog Rd Ste 100, Delray Beach, FL 33446-3808 | 2007-03-13 |
| 1023168259 | Sandra A Wilson | Marriage & Family Therapist | 3617 Ricardo, Redding, CA 96002 | 2007-01-11 |
| 1134295876 | Sandra B Wilson | Nurse Practitioner | 189 Wheatly Road, Ahrc Nassau County, Brookville, NY 11545 | 2006-11-27 |
| 1174566814 | Sandra H. Wilson | Physical Therapist | 88 State Route 37, Unit 2, New Fairfield, CT 06812-5036 | 2006-06-13 |
| 1316906415 | Sandra J Wilson | Counselor | 304 W Collin Raye Dr, 103-a, De Queen, AR 71832-2013 | 2006-03-20 |
| 1619584752 | Sandra Lynn Wilson | Technician | 411 W Main St, Romney, WV 26757-1530 | 2020-09-23 |
| 1164908760 | Sandra Wilson | Social Worker | 3100 E 45th St Ste 314, Cleveland, OH 44127-1095 | 2018-07-17 |
| Street Address |
5150 E PACIFIC COAST HWY |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90804-3312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598739245 | Jean Fromm | Psychologist | 5150 E Pacific Coast Hwy, Ste 200, Long Beach, CA 90804-3399 | 2006-02-16 |
| 1427673250 | Denise Fritts | Marriage & Family Therapist | 5150 E Pacific Coast Hwy, Long Beach, CA 90804-3312 | 2020-06-08 |
| 1104440924 | Ross Crothers | Marriage & Family Therapist | 5150 E Pacific Coast Hwy, Long Beach, CA 90804-3312 | 2020-06-08 |
| 1629692454 | Laura Murillo | Marriage & Family Therapist | 5150 E Pacific Coast Hwy, Long Beach, CA 90804-3312 | 2020-06-08 |
| 1730704578 | Marylu Delgado | Social Worker | 5150 E Pacific Coast Hwy, Long Beach, CA 90804-3312 | 2020-06-08 |
| 1447872668 | Jennifer Lynn Harris | Marriage & Family Therapist | 5150 E Pacific Coast Hwy, Long Beach, CA 90804-3312 | 2020-05-11 |
| 1205458437 | Daniella Norena | Marriage & Family Therapist | 5150 E Pacific Coast Hwy, Long Beach, CA 90804-3312 | 2020-05-11 |
| 1578191169 | Trinity Flores | Social Worker | 5150 E Pacific Coast Hwy, Long Beach, CA 90804-3312 | 2020-03-30 |
| 1447886197 | Mayra Simental | Social Worker | 5150 E Pacific Coast Hwy, Long Beach, CA 90804-3312 | 2020-03-13 |
| 1144856824 | Aria Eve Hanna | Marriage & Family Therapist | 5150 E Pacific Coast Hwy, Long Beach, CA 90804-3312 | 2020-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821616673 | Exporter Medical LLC | Durable Medical Equipment & Medical Supplies | 2990 E. Pacific Coast Hwy., Suite B, Long Beach, CA 90804 | 2020-07-08 |
| 1700436094 | Magdalema Ballesteros-reynolds | Technician | 844 Ohio Ave, Long Beach, CA 90804 | 2019-09-18 |
| 1093365447 | Edelmira D Sanchez | Technician | 837 Bennett Ave, Long Beach, CA 90804 | 2019-09-18 |
| 1164980165 | Carlton Fortenberry | Behavior Technician | 775 Obispo Ave., Unit 1, Long Beach, CA 90804 | 2019-03-08 |
| 1427522812 | Western Dental Services, Inc. | Dentist | 2306 E 7th Street, Long Beach, CA 90804 | 2019-01-18 |
| 1124557657 | Keav Siv Khov | Social Worker | 4510 East Pacific Coast Highway, Suite 600, Long Beach, CA 90804 | 2017-06-08 |
| 1265966576 | Kensie Hoag | Social Worker | 4510 E PCh, Suite 305, Long Beach, CA 90804 | 2017-04-13 |
| 1528424389 | Rem Pacific Sleep Center, Inc. | Specialist/Technologist | 2990 E. Pacific Coast Hwy, Suite A, Long Beach, CA 90804 | 2016-01-10 |
| 1417326935 | Kelli Ann Carlson | Student in an Organized Health Care Education/Training Program | 2025 E. 7th Street, Long Beach, CA 90804 | 2015-09-15 |
| 1487059010 | Kenenth K. Lee, D.d.s., Inc. | Preferred Provider Organization | 4755 E. Anaheim St., Long Beach, CA 90804 | 2014-10-24 |
| Find all providers in zip 90804 | ||||
| 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 |
|---|---|---|---|---|
| 1427664002 | Christopher Joseph Bauss | Marriage & Family Therapist | 521 Ultimo Ave, Long Beach, CA 90814-2046 | 2020-09-19 |
| 1487268876 | Tiffany Amber Hooton | Marriage & Family Therapist | 4510 E Pacific Coast Hwy Ste 540, Long Beach, CA 90804-6941 | 2020-09-02 |
| 1144845306 | Sara Povey | Marriage & Family Therapist | 1635 E Ocean Blvd Unit 3a, Long Beach, CA 90802-6041 | 2020-06-13 |
| 1649890955 | Lori Lynn Mann | Marriage & Family Therapist | 6695 E Pacific Coast Hwy Ste 250, Long Beach, CA 90803-4256 | 2020-04-16 |
| 1528606191 | Joseph Buchman | Marriage & Family Therapist | 3950 Long Beach Blvd Ste 101, Long Beach, CA 90807-5410 | 2019-12-13 |
| 1952944951 | April Dawn Malden | Marriage & Family Therapist | 3412 N Greenbrier Rd, Long Beach, CA 90808-2515 | 2019-10-22 |
| 1639729817 | Valetta Melanie Kirchner | Marriage & Family Therapist | 1057 Belmont Ave Apt B, Long Beach, CA 90804-4225 | 2019-09-18 |
| 1639727209 | Fairy Shaw | Marriage & Family Therapist | 4700 Clair Del Ave Apt 545, Long Beach, CA 90807-1329 | 2019-08-28 |
| 1184271496 | Aline Inocencio | Marriage & Family Therapist | 555 E Ocean Blvd Ste 638, Long Beach, CA 90802-5077 | 2019-08-21 |
| 1366003600 | Meredith Anne Freijo | Marriage & Family Therapist | 4401 Atlantic Ave Ste 430, Long Beach, CA 90807-2240 | 2019-06-26 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90804 |
Please comment or provide details below to improve the information on SANDRA LYNN WILSON.
| 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.