Individual provider Active NPI

Sherie Lynn Mahlberg, M.F.T.

  • Marriage & Family Therapist
  • Vacaville, CA
National Provider Identifier
1396164331
Registry record updated Jun 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
92236 Issued in CA
Practice address
1241 Alamo Dr Ste 3
Vacaville, CA 95687-5620
Phone
(707) 330-7904
NPI assigned
Apr 7, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2016

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 92236 CA Primary

Addresses

Primary practice location

1241 Alamo Dr Ste 3
Vacaville, CA 95687-5620

Mailing address

1241 Alamo Dr Ste 3
Vacaville, CA 95687-5620
Phone (707) 330-7904

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
92236CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Restoration First Responder Foundation Marriage & Family Therapist Current Accepting new patients
Restoration Family Counseling Center Marriage & Family Therapist Past Accepting new patients

Organizations & group practices 2

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": "1396828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466553600000",
    "number": "1396164331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 ALAMO DR STE 3",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956875620",
            "telephone_number": "707-330-7904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 ALAMO DR STE 3",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956875620",
            "telephone_number": "707-330-7904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHLBERG",
        "first_name": "SHERIE",
        "middle_name": "LYNN",
        "credential": "M.F.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-07",
        "last_updated": "2016-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "92236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vacaville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2016; 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.