Sally A Riley, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

51239 Issued in CA

Practice address

1152 S Main St
Lakeport, CA 95453-5517

Phone

(707) 263-8795

NPI assigned

Feb 21, 2007

Last updated

Oct 24, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382572800000",
    "number": "1174668370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1152 S MAIN ST",
            "city": "LAKEPORT",
            "state": "CA",
            "postal_code": "954535517",
            "telephone_number": "707-263-8795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1152 S MAIN ST",
            "city": "LAKEPORT",
            "state": "CA",
            "postal_code": "954535517",
            "telephone_number": "707-263-8795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "SALLY",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2013-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "51239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Redwood Regional Medical Group, Inc. (Redwood Regional Oncology Center)
• Renal Treatment Centers California Inc (Lakeport Dialysis Center)
• Nancy Jane Reynolds, MD FACOG
• Yvonne Anne Riba, PA
• Diana Elizabeth Riley, M.P.H., M.S.,P.A.-C.
• Harvey Ripple, RPH
• Robert C Jolin DC a Chiropractic Corporation
• Joan Rogers
• Shauna Rogers
• Tammy Rogers

• Marriage & Family Therapist in Lakeport, CA
• Providers in Lakeport, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2013; 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.