NPI Code Detail JSON Logo

1588716344 NPI number — MICHELLE YVETTE WILLIAMS AA

NPI Number: 1588716344
Health Care Provider/Practitioner: MICHELLE YVETTE WILLIAMS AA

Information about “1588716344” NPI (MICHELLE YVETTE WILLIAMS AA) exists in 1588716344 in HTML format HTML  |  1588716344 in plain Text format TXT  |  1588716344 in PDF (Portable Document Format) PDF  |  1588716344 in an XML format XML  formats.

NPI Number : 1588716344 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1588716344",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WILLIAMS",
    "FirstName": "MICHELLE",
    "MiddleName": "YVETTE",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "AA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "43 LATONA ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAN FRANCISCO",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "94124-2341",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "800-469-3019",
    "MailingAddressFaxNumber": "650-620-9549",
    "FirstLinePracticeLocationAddress": "957 INDUSTRIAL RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAN CARLOS",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "94070-4151",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "415-375-7619",
    "PracticeLocationAddressFaxNumber": "650-620-9556",
    "EnumerationDate": "01/18/2007",
    "LastUpdateDate": "09/11/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "101Y00000X",
          "TaxonomyName": "Counselor",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "171M00000X",
          "TaxonomyName": "Case Manager/Care Coordinator",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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