Active NPI
Stephanie Ann Domek, LMFT
- Marriage & Family Therapist
- Sacramento, CA
National Provider Identifier
1184853467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 67591
- Practice address
- 1731 I Street
Suite 103
Sacramento, CA 95811 - Phone
- (916) 572-9782
- NPI assigned
- Jul 8, 2009
- 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 | 67591 | CA | Primary |
Addresses
Primary practice location
1731 I Street
Suite 103
Sacramento, CA 95811
Mailing address
1731 I Street
Suite 103
Sacramento, CA 95811
Phone (916) 572-9782
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67591 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1184853467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1731 I STREET",
"address_2": "SUITE 103",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "95811",
"telephone_number": "916-572-9782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1731 I STREET",
"address_2": "SUITE 103",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "95811",
"telephone_number": "916-572-9782"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMEK",
"first_name": "STEPHANIE",
"middle_name": "ANN",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-08",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "67591",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
- Dolphin Partners Group Inc
- Cinde Joan Dolphin
- Anamika K. Doma, D.O.
- Daniel Ritua Domaguin, LCSW
- Tybel Dombrowski
- Domenique Labeau, Licensed Marriage and Family Therapist, Inc.
- Paige Ann Domgaard
- Domingo Therapy a Marriage and Family Therapy Professional Corporation
- Clarissa Mae Domingo-Javier, FNP-C
- Ailyne Domingo
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.