Individual provider Active NPI

Sylvia Desiree-Sosa Newlun, MFT

  • Marriage & Family Therapist
  • Sutter Creek, CA
National Provider Identifier
1083833552
Registry record updated Jun 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
81835 Issued in CA
Practice address
10877 Conductor Blvd
Suite 300
Sutter Creek, CA 95685-9682
Phone
(209) 223-6412
Fax
(209) 223-0920
NPI assigned
Apr 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X IMF48479 CA
Marriage & Family Therapist 106H00000X 81835 CA Primary

Addresses

Primary practice location

10877 Conductor Blvd
Suite 300
Sutter Creek, CA 95685-9682

Mailing address

10877 Conductor Blvd
Suite 300
Sutter Creek, CA 95685-9682
Phone (209) 223-6412

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240405003665 CA Practitioner - Marriage and Family Therapist 5991143158 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
County of AmadorGroup PAC ID 9537223375, 6 clinicians

Practice addresses (Care Compare)

10877 Conductor Blvd
Suite 300
Sutter Creek, CA 95685-9688
Phone (209) 223-6412

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
IMF48479CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
County of Amador CurrentSince Feb 4, 2024 Accepting new patients
County of Amador PastSince Aug 18, 2019 Accepting new patients

Locations

10877 Conductor Blvd
Ste 300
Sutter Creek, CA 95685
Phone (209) 223-6412

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1083833552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10877 CONDUCTOR BLVD",
            "address_2": "SUITE 300",
            "city": "SUTTER CREEK",
            "state": "CA",
            "postal_code": "956859682",
            "telephone_number": "209-223-6412",
            "fax_number": "209-223-0920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10877 CONDUCTOR BLVD",
            "address_2": "SUITE 300",
            "city": "SUTTER CREEK",
            "state": "CA",
            "postal_code": "956859682",
            "telephone_number": "209-223-6412",
            "fax_number": "209-223-0920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWLUN",
        "first_name": "SYLVIA",
        "middle_name": "DESIREE-SOSA",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF48479",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "81835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sutter Creek, CA

Sources for this page

Verify at the official NPI Registry.