Active NPI
Kristy Lynn Banathy
- Marriage & Family Therapist
- Sacramento, CA
National Provider Identifier
1316196306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 65923
- Practice address
- 3440 Viking Dr
Sacramento, CA 95827-2844 - Phone
- (916) 262-8598
- Fax
- (916) 262-8599
- NPI assigned
- Sep 15, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | 65923 | CA | Primary |
Addresses
Primary practice location
3440 Viking Dr
Sacramento, CA 95827-2844
Mailing address
8094 Primoak Way
Elk Grove, CA 95758-7905
Phone (916) 226-6419
Other practice location 1
7415 Henrietta Dr
Sacramento, CA 95822-5142
Phone (916) 520-7399
Other practice location 2
505 M St
Rio Linda, CA 95673-2218
Phone (916) 287-4067
Other names 1
- Kristy Lynn Chamberlin
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Sacramento | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Radiology Clinic/Center
- Sacramento, CA
- NPI 1508936030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701216000000",
"number": "1316196306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8094 PRIMOAK WAY",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "957587905",
"telephone_number": "916-226-6419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3440 VIKING DR",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958272844",
"telephone_number": "916-262-8598",
"fax_number": "916-262-8599"
}
],
"practiceLocations": [
{
"address_1": "7415 Henrietta Dr",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958225142",
"country_code": "US",
"telephone_number": "916-520-7399",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "505 M St",
"address_purpose": "LOCATION",
"city": "Rio Linda",
"state": "CA",
"postal_code": "956732218",
"country_code": "US",
"telephone_number": "916-287-4067",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BANATHY",
"first_name": "KRISTY",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-15",
"last_updated": "2023-11-29",
"certification_date": "2021-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "65923",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTY",
"last_name": "CHAMBERLIN",
"middle_name": "LYNN",
"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 Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.