Active NPI
Kristen Alyce Mezger
- Marriage & Family Therapist
- Sacramento, CA
National Provider Identifier
1073927646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 98998
- Practice address
- 2750 Sutterville Rd
Sacramento, CA 95820-1024 - Phone
- (916) 290-8209
- NPI assigned
- Jun 11, 2014
- Last updated
- Mar 24, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 98998 | CA | Primary |
Addresses
Primary practice location
2750 Sutterville Rd
Sacramento, CA 95820-1024
Mailing address
2750 Sutterville Rd
Cottage 2
Sacramento, CA 95820-1024
Phone (916) 280-8209
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490313600000",
"number": "1073927646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2750 SUTTERVILLE RD",
"address_2": "COTTAGE 2",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958201024",
"telephone_number": "916-280-8209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2750 SUTTERVILLE RD",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958201024",
"telephone_number": "916-290-8209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEZGER",
"first_name": "KRISTEN",
"middle_name": "ALYCE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-11",
"last_updated": "2017-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "98998",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.