Active NPI
Infant Parent Center
- Marriage & Family Therapist
- Cameron Park, CA
National Provider Identifier
1023356102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 48763
- Legal business name
- INFANT PARENT CENTER
- Practice address
- 3430 Robin LN Ste 4
Cameron Park, CA 95682-8441 - Phone
- (530) 676-2899
- Fax
- (530) 387-6456
- NPI assigned
- Jan 23, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jennifer Noel Kalsbeek, LMFT
- Title
- Co-Founder
- Phone
- (530) 676-2899
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 48763 | CA | Primary |
| Marriage & Family Therapist | 106H00000X | 46646 | CA |
Addresses
Primary practice location
3430 Robin LN Ste 4
Cameron Park, CA 95682-8441
Mailing address
3430 Robin LN Ste 4
Cameron Park, CA 95682-8441
Phone (530) 676-2899
National Provider Directory
National Provider DirectoryLocations
3430 Robin Ln
Unit 4
Cameron Park, CA 95682
Phone (530) 676-2899
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Cameron Park, CA
- NPI 1114694908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358899200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1358899200000",
"number": "1023356102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3430 ROBIN LN STE 4",
"city": "CAMERON PARK",
"state": "CA",
"postal_code": "956828441",
"telephone_number": "530-676-2899",
"fax_number": "530-387-6456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3430 ROBIN LN STE 4",
"city": "CAMERON PARK",
"state": "CA",
"postal_code": "956828441",
"telephone_number": "530-676-2899",
"fax_number": "530-387-6456"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INFANT PARENT CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-23",
"last_updated": "2013-01-23",
"status": "A",
"authorized_official_last_name": "KALSBEEK",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "NOEL",
"authorized_official_title_or_position": "CO-FOUNDER",
"authorized_official_telephone_number": "530-676-2899",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "48763",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "46646",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cameron Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.