Individual provider Active NPI

Lilany Marie Servin

  • Behavior Technician
  • Sacramento, CA
National Provider Identifier
1194572636
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
5140 80TH St
Sacramento, CA 95820-6219
Phone
(530) 650-7691
NPI assigned
May 2, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X 987456A CA
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

5140 80TH St
Sacramento, CA 95820-6219

Mailing address

1615 Response Rd.
Ste. 200
Sacramento, CA 95815
Phone (916) 518-3187

Other practice location 1

350 5th Ave Apt 6A
New York, NY 10118-0110
Phone (530) 650-7691

Other practice location 2

5140 80th St
Sacramento, CA 95820-6219
Phone (530) 650-7691

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

LicenseStateTypeSpecialty
987456ACAMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1714608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1194572636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 RESPONSE RD.",
            "address_2": "STE. 200",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95815",
            "telephone_number": "916-518-3187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5140 80TH ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958206219",
            "telephone_number": "530-650-7691"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 5th Ave Apt 6A",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "101180110",
            "country_code": "US",
            "telephone_number": "530-650-7691",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5140 80th St",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958206219",
            "country_code": "US",
            "telephone_number": "530-650-7691",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SERVIN",
        "first_name": "LILANY",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-02",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "CA",
            "license": "987456A",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 16, 2025; 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.