Individual provider Active NPI

Lynne Z Sgambati, MFT

  • Marriage & Family Therapist
  • Berkeley, CA
National Provider Identifier
1376673517
Registry record updated Jun 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 39453 Issued in CA
Practice address
1821 Catalina Ave
Berkeley, CA 94707-1906
Phone
(510) 520-3340
Fax
(510) 841-7509
NPI assigned
Mar 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2014

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 MFC 39453 CA Primary

Addresses

Primary practice location

1821 Catalina Ave
Berkeley, CA 94707-1906

Mailing address

PO Box 9255
Berkeley, CA 94709-0255
Phone (510) 520-3340

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFC 39453CAMDMarriage & 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": "1402099200000",
    "number": "1376673517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9255",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947090255",
            "telephone_number": "510-520-3340",
            "fax_number": "510-841-7509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 CATALINA AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947071906",
            "telephone_number": "510-520-3340",
            "fax_number": "510-841-7509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SGAMBATI",
        "first_name": "LYNNE",
        "middle_name": "Z",
        "name_prefix": "Ms.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2014-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 39453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

Verify at the official NPI Registry.