Shelly Kunker, PSYD, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

52111 Issued in CA

Practice address

3436 American River Dr
Suite 17
Sacramento, CA 95864-5793

Phone

(916) 587-2954

NPI assigned

Jul 26, 2006

Last updated

Jun 6, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465171200000",
    "number": "1457374852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160251",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958160251",
            "telephone_number": "916-587-2954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3436 AMERICAN RIVER DR",
            "address_2": "SUITE 17",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958645793",
            "telephone_number": "916-587-2954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNKER",
        "first_name": "SHELLY",
        "credential": "PSYD, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2016-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "52111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Kumasaki, D.D.S.
• Dennis S. Kumata, MD
• Jason Kung, M.D.
• Peter Keigi Kungu, RN
• Gudrun Kungys, M.D.
• Robert Kunkle
• Simone Roisin Kunst
• William Darrell Kuntz, M.D.
• Shelby Gabrielle Kunz, M.D.
• Alexander Kuo, MD

• Marriage & Family Therapist in Sacramento, CA
• Providers in Sacramento, 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 6, 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.