Individual provider Active NPI

Sandra Marie Paolini, M.A.

  • Marriage & Family Therapist
  • Martinez, CA
National Provider Identifier
1366572083
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
44530 Issued in CA
Practice address
1340 Arnold Dr Ste 200
Martinez, CA 94553-4189
Phone
(925) 457-7230
Fax
(925) 482-0576
NPI assigned
Mar 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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 44530 CA Primary

Addresses

Primary practice location

1340 Arnold Dr Ste 200
Martinez, CA 94553-4189

Mailing address

1630 N Main St # 298
Walnut Creek, CA 94596-4609
Phone (925) 932-3229

Other practice location 1

315 G St
Antioch, CA 94509-1254
Phone (925) 689-4131 ext. 6

Other practice location 2

325 Cumberland St Ste A
Pittsburg, CA 94565-2205
Phone (925) 457-7230

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 1, 2024 through Jan 1, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
44530CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1366572083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 N MAIN ST # 298",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945964609",
            "telephone_number": "925-932-3229",
            "fax_number": "925-457-7230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 ARNOLD DR STE 200",
            "city": "MARTINEZ",
            "state": "CA",
            "postal_code": "945534189",
            "telephone_number": "925-457-7230",
            "fax_number": "925-482-0576"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 G St",
            "address_purpose": "LOCATION",
            "city": "Antioch",
            "state": "CA",
            "postal_code": "945091254",
            "country_code": "US",
            "telephone_number": "925-689-4131 x6",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "325 Cumberland St Ste A",
            "address_purpose": "LOCATION",
            "city": "Pittsburg",
            "state": "CA",
            "postal_code": "945652205",
            "country_code": "US",
            "telephone_number": "925-457-7230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAOLINI",
        "first_name": "SANDRA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "44530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinez, CA

Sources for this page

Verify at the official NPI Registry.