Individual provider Active NPI

Annette Robinson, MFTREGISTERED INTERN

  • Marriage & Family Therapist
  • Sacramento, CA
National Provider Identifier
1205251907
Registry record updated Mar 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
INTERN 67078 Issued in CA
Practice address
3870 Rosin CT Ste 130
Sacramento, CA 95834-1647
Phone
(916) 363-1553
Fax
(916) 363-1565
NPI assigned
Mar 4, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X INTERN 67078 CA Primary

Addresses

Primary practice location

3870 Rosin CT Ste 130
Sacramento, CA 95834-1647

Mailing address

3870 Rosin CT Ste 130
Sacramento, CA 95834-1647
Phone (916) 363-1553

Other names 1

  • Annette Pride Former name

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
INTERN 67078CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1393891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393891200000",
    "number": "1205251907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3870 ROSIN CT STE 130",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958341647",
            "telephone_number": "916-363-1553",
            "fax_number": "916-363-1565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3870 ROSIN CT STE 130",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958341647",
            "telephone_number": "916-363-1553",
            "fax_number": "916-363-1565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "ANNETTE",
        "credential": "MFTREGISTERED INTERN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-04",
        "last_updated": "2014-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "INTERN 67078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNETTE",
            "last_name": "PRIDE",
            "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 Mar 4, 2014; 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.