A Mindful Path to Mental Health Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

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

Organization subpart

No

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

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23812/brand/1/csg/1/fhir/r4

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": []
}

• A Cherished Touch Nursing PC
• A Choice Health Center
• A Compassionate Path Marriage and Family Therapy Collective Inc.
• 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

• All providers in Sacramento, CA
• Psychiatry Physician in California

• 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.

Verify at the official NPI Registry.