Individual provider Active NPI

Debra Jane Schnack, MFT

  • Marriage & Family Therapist
  • West Sacramento, CA
National Provider Identifier
1477664787
Registry record updated Aug 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
2101 Stone Blvd Ste 240
West Sacramento, CA 95691-4044
Phone
(916) 716-7626
Fax
(610) 643-6730
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2010

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 Primary

Addresses

Primary practice location

2101 Stone Blvd Ste 240
West Sacramento, CA 95691-4044

Mailing address

2101 Stone Blvd Ste 240
West Sacramento, CA 95691-4044
Phone (916) 716-7626

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 22, 2024 through Mar 22, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282089600000",
    "number": "1477664787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 STONE BLVD STE 240",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956914044",
            "telephone_number": "916-716-7626",
            "fax_number": "610-643-6730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 STONE BLVD STE 240",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956914044",
            "telephone_number": "916-716-7626",
            "fax_number": "610-643-6730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNACK",
        "first_name": "DEBRA",
        "middle_name": "JANE",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Sacramento, CA

Sources for this page

Verify at the official NPI Registry.