Sydney Eaker, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

27779 Issued in CA

Practice address

2170 Bishop St
San Luis Obispo, CA 93408-0001

Phone

(805) 544-0801

NPI assigned

Apr 18, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective May 9, 2024 through May 9, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• San Luis Obispo Child Development Center

  • Case Management Agency
  • San Luis Obispo, CA
  • NPI 1184822728
  NPD (past)

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

{
    "created_epoch": "1303084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339545600000",
    "number": "1427348952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 BISHOP ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934014691",
            "telephone_number": "805-544-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2170 BISHOP ST",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934080001",
            "telephone_number": "805-544-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EAKER",
        "first_name": "SYDNEY",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-18",
        "last_updated": "2012-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "27779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sylvie Duvet, RN
• Sari Hermine Dworkin, PH.D.
• Monique Dye
• Susan M Dykema, LVN
• Ernest Daniel Moreno Dytiapco, MD
• Ear Nose & Throat Specialists, Inc.
• Ear, Nose & Throat Specialists Hearing AIDS, LLC
• Thomas Earley
• East West Natural Medicine Center
• East West Natural Medicine Center, LLC

• Marriage & Family Therapist in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2012; 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.

Verify at the official NPI Registry.