Active NPI
Ileihno Bopachemihn, Inc.
- Marriage & Family Therapist
- Sacramento, CA
National Provider Identifier
1124735758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Legal business name
- ILEIHNO BOPACHEMIHN, INC.
- Practice address
- 4616 El Camino Avenue
Suite B
Sacramento, CA 95821 - Phone
- (619) 701-2546
- NPI assigned
- Nov 2, 2022
- 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
- Tatiana Moore, LMFT
- Title
- Clinical Services Director
- Phone
- (619) 701-2546
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
4616 El Camino Avenue
Suite B
Sacramento, CA 95821
Mailing address
4616 El Camino Avenue
Suite B
Sacramento, CA 95821
Phone (619) 701-2546
Other practice location 1
750 E Grand Ave Ste A
Escondido, CA 92025-4460
Phone (619) 701-2546
Other names 1
- Tribal Oak Tree Foster Family Agency
National Provider Directory
National Provider DirectoryLocations
4616 El Camino Ave
Unit B
Sacramento, CA 95821
Phone (619) 701-2546
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- San Diego, CA
- NPI 1801171442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667347200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1667347200000",
"number": "1124735758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4616 EL CAMINO AVENUE",
"address_2": "SUITE B",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "95821",
"telephone_number": "619-701-2546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4616 EL CAMINO AVENUE",
"address_2": "SUITE B",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "95821",
"telephone_number": "619-701-2546"
}
],
"practiceLocations": [
{
"address_1": "750 E Grand Ave Ste A",
"address_purpose": "LOCATION",
"city": "Escondido",
"state": "CA",
"postal_code": "920254460",
"country_code": "US",
"telephone_number": "619-701-2546",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ILEIHNO BOPACHEMIHN, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-02",
"last_updated": "2022-11-02",
"certification_date": "2022-11-02",
"status": "A",
"authorized_official_last_name": "MOORE",
"authorized_official_first_name": "TATIANA",
"authorized_official_title_or_position": "CLINICAL SERVICES DIRECTOR",
"authorized_official_telephone_number": "619-701-2546",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Tribal Oak Tree Foster Family Agency",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Nov 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.