My Time Movement

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

MY TIME MOVEMENT

Practice address

6522 Castro Verde Way
Elk Grove, CA 95757-3495

Phone

(279) 222-5162

NPI assigned

Aug 8, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Atenceia Sereeta Maria

Title

Director of Community Care

Phone

(279) 222-5162

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1723075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723075200000",
    "number": "1295566750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5650 WHITELOCK PKWY STE 130-1065",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957575922",
            "telephone_number": "279-222-5162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6522 CASTRO VERDE WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957573495",
            "telephone_number": "279-222-5162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY TIME MOVEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-08",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A",
        "authorized_official_last_name": "MARIA",
        "authorized_official_first_name": "ATENCEIA",
        "authorized_official_middle_name": "SEREETA",
        "authorized_official_title_or_position": "DIRECTOR OF COMMUNITY CARE",
        "authorized_official_telephone_number": "279-222-5162",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maysoon Mahmud Musbah, RN, FNP-BC
• Magdalena Elizabeth Mustafa Kanaan
• Fatima Mustafa
• John Langali Mwaengo, RN
• Martin Mwangi
• Keith Chester Myers, PA-C
• Kevin Wade Myers, D.D.S.
• Madelynn Myers
• Moriah Myles, LMFT 153459
• Christine Marie NA, MPT

• Case Manager/Care Coordinator in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; 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.