Active NPI
Robin Scott Sweeney, MA
- Marriage & Family Therapist
- Sebastopol, CA
National Provider Identifier
1356590376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT83967
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 83967 | CA | MD | Social Worker |
| LMFT83967 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lesley Cantor a Family Therapy Professional Corporation | Marriage & Family Therapist | 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.
-
- Marriage & Family Therapist
- Sebastopol, CA
- NPI 1235979709
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.