Active NPI
A Mindful Path to Mental Health Inc
- Psychiatry Physician
- Sacramento, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- A MINDFUL PATH TO MENTAL HEALTH INC
- Practice address
- 10419 Old Placerville Rd Ste 252
Sacramento, CA 95827-2527 - Phone
- (916) 536-6030
- Fax
- (916) 244-3865
- NPI assigned
- Sep 17, 2020
- Last updated
- Jan 17, 2025
- 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
- Dr. Carolina Bonilla Jacome, MD
- Title
- President/Ceo
- Phone
- (916) 536-6030
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
10419 Old Placerville Rd Ste 252
Sacramento, CA 95827-2527
Mailing address
5804 Babcock Rd PMB 106
San Antonio, TX 78240-2134
Phone (916) 536-6030
National Provider Directory
National Provider DirectoryLocations
100 Howe Ave
Ste 210S
Sacramento, CA 95825
Phone (916) 536-6030
Interoperability endpoints
- https://api.platform.athenahealth.com/23812/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatry Physician
- San Antonio, TX
- NPI 1619169984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600300800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1737072000000",
"number": "1033725825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5804 BABCOCK RD PMB 106",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782402134",
"telephone_number": "916-536-6030",
"fax_number": "916-244-3865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10419 OLD PLACERVILLE RD STE 252",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958272527",
"telephone_number": "916-536-6030",
"fax_number": "916-244-3865"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "A MINDFUL PATH TO MENTAL HEALTH INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-17",
"last_updated": "2025-01-17",
"certification_date": "2025-01-17",
"status": "A",
"authorized_official_last_name": "BONILLA JACOME",
"authorized_official_first_name": "CAROLINA",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "916-536-6030",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- A Cherished Touch Nursing PC
- A Choice Health Center
- A Compassionate Path Marriage and Family Therapy Collective Inc. (Compassionate Path Therapy)
- A Different Path
- A Friend for Life Home Care LLC
- A Miracle Smile by Dr. Dezham Dental Group
- A Miracle Smile by Dr. Dezham Dental Group Inc.
- A Scott Grivas III DDS Inc
- A Senior Connection
- A Touch of Faith Resource Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.