Active NPI
Susan Dubner Ciminelli, MFT
- Marriage & Family Therapist
- Sacramento, CA
National Provider Identifier
1104935055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC30342
- Practice address
- 2617 K St
#250 Susan Ciminelli MFT
Sacramento, CA 95816 - Phone
- (916) 716-3040
- Fax
- (916) 443-0943
- NPI assigned
- Aug 30, 2006
- 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 | MFC30342 | CA | Primary |
Addresses
Primary practice location
2617 K St
#250 Susan Ciminelli MFT
Sacramento, CA 95816
Mailing address
2617 K St
#250 Susan Ciminelli MFT
Sacramento, CA 95816
Phone (916) 716-3040
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 271854 | Other | CA | MANAGED HEALTH NETWORK IN |
Other names 1
- Ms. Susan Rachel Dubner
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective May 9, 2024 through May 9, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC30342 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104935055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2617 K ST",
"address_2": "#250 SUSAN CIMINELLI MFT",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "95816",
"telephone_number": "916-716-3040",
"fax_number": "916-443-0943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2617 K ST",
"address_2": "#250 SUSAN CIMINELLI MFT",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "95816",
"telephone_number": "916-716-3040",
"fax_number": "916-443-0943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CIMINELLI",
"first_name": "SUSAN",
"middle_name": "DUBNER",
"name_prefix": "Mrs.",
"credential": "MFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC30342",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MANAGED HEALTH NETWORK IN",
"identifier": "271854",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SUSAN",
"last_name": "DUBNER",
"middle_name": "RACHEL",
"prefix": "MS.",
"credential": "MFT",
"code": "1",
"type": "Former Name"
}
]
}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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.