Individual provider Active NPI

Robin Scott Sweeney, MA

  • Marriage & Family Therapist
  • Sebastopol, CA
National Provider Identifier
1356590376
Registry record updated Mar 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT83967 Issued in CA
Practice address
7765 Healdsburg Ave Ste 17
Sebastopol, CA 95472
Phone
(925) 788-3621
NPI assigned
Sep 15, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2019

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 LMFT83967 CA Primary

Addresses

Primary practice location

7765 Healdsburg Ave Ste 17
Sebastopol, CA 95472

Mailing address

15207 Orchard Rd
Guerneville, CA 95446-9542
Phone (510) 759-7662

Other practice location 1

2950 Camino Diablo
Walnut Creek, CA 94597-3978
Phone (510) 759-7662

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 20, 2024 through Jan 20, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
83967CAMDSocial Worker
LMFT83967CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lesley Cantor a Family Therapy Professional Corporation Marriage & Family Therapist PastSince Jun 2, 2024 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.

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": "1553558400000",
    "number": "1356590376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15207 ORCHARD RD",
            "city": "GUERNEVILLE",
            "state": "CA",
            "postal_code": "954469542",
            "telephone_number": "510-759-7662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7765 HEALDSBURG AVE STE 17",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "95472",
            "telephone_number": "925-788-3621"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2950 Camino Diablo",
            "address_purpose": "LOCATION",
            "city": "Walnut Creek",
            "state": "CA",
            "postal_code": "945973978",
            "country_code": "US",
            "telephone_number": "510-759-7662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWEENEY",
        "first_name": "ROBIN",
        "middle_name": "SCOTT",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-15",
        "last_updated": "2019-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT83967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebastopol, CA

Sources for this page

Verify at the official NPI Registry.