Mandisa Pittmon LMFT Marriage and Family Therapist Inc

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MANDISA PITTMON LMFT MARRIAGE AND FAMILY THERAPIST INC

Practice address

3960 Industrial Blvd Ste 200
West Sacramento, CA 95691-5024

Phone

(916) 584-9395

Fax

(310) 602-6721

NPI assigned

Mar 27, 2023

Organization subpart

No

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

Authorized official

Name

Mandisa Pittmon Stepter, LMFTNPI 1851534051

Title

Owner/Clinician

Phone

(310) 847-9271

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mandisa Gayneil Pittmon-Stepter, LMFT

  • Marriage & Family Therapist
  • West Sacramento, CA
  • NPI 1851534051
  NPD Authorized official

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

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679875200000",
    "number": "1336843283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 340628",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958340628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3960 INDUSTRIAL BLVD STE 200",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956915024",
            "telephone_number": "916-584-9395",
            "fax_number": "310-602-6721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANDISA PITTMON LMFT MARRIAGE AND FAMILY THERAPIST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-27",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A",
        "authorized_official_last_name": "PITTMON STEPTER",
        "authorized_official_first_name": "MANDISA",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "310-847-9271",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nsabata Naomi Mabuti, PMHNP-BC
• Sharina Chico Macapagal, MD
• Ashley Magana
• Maria Mallick, NP
• Chelsea Ann Mallinson, LMFT TRAINEE
• Denise Mar
• Olga Marat, M.D.
• Rachel Marine, LCSW
• Mark H Goldenberg DDS a Dental Corp Darrin J Hirt DDS Ms Inc
• Analeise Marley

• Mental Health Clinic/Center (Including Community Mental Health Center) in West Sacramento, CA
• Providers in West Sacramento, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.

Verify at the official NPI Registry.