NPI Code Detail JSON Logo

1619157864 NPI number — SARAH ELLEN WOLFARTH-DAVIS PHD, LMFT

NPI Number: 1619157864
Health Care Provider/Practitioner: SARAH ELLEN WOLFARTH-DAVIS PHD, LMFT

Information about “1619157864” NPI (SARAH ELLEN WOLFARTH-DAVIS PHD, LMFT) exists in 1619157864 in HTML format HTML  |  1619157864 in plain Text format TXT  |  1619157864 in PDF (Portable Document Format) PDF  |  1619157864 in an XML format XML  formats.

NPI Number : 1619157864 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1619157864",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WOLFARTH-DAVIS",
    "FirstName": "SARAH",
    "MiddleName": "ELLEN",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "PHD, LMFT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "WOLFARTH",
    "OtherFirstName": "SARAH",
    "OtherMiddleName": "ELLEN",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "530 43RD ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "OAKLAND",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "94609-2036",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "951-310-9709",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2940 SUMMIT ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "OAKLAND",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "94609-3416",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "951-310-9709",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/05/2007",
    "LastUpdateDate": "02/20/2020",
    "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": "171M00000X",
          "TaxonomyName": "Case Manager/Care Coordinator",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "106H00000X",
          "TaxonomyName": "Marriage & Family Therapist",
          "LicenseNumber": "110345",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.