Organization Active NPI

Ivy Griffin Private Practice

  • Community/Behavioral Health Agency
  • Sacramento, CA
National Provider Identifier
1497113781
Registry record updated Feb 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
90359 Issued in CA
Legal business name
IVY GRIFFIN PRIVATE PRACTICE
Practice address
1909 Capitol Ave Ste 302
Sacramento, CA 95811-4242
Phone
(916) 905-2214
NPI assigned
Feb 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2016

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

Authorized official

Name
Ms. Arielle Grossman
Title
MFT Intern #90359
Phone
(916) 905-2214

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 90359 CA Primary

Addresses

Primary practice location

1909 Capitol Ave Ste 302
Sacramento, CA 95811-4242

Mailing address

1909 Capitol Ave Ste 302
Sacramento, CA 95811-4242
Phone (916) 905-2214

National Provider Directory

National Provider Directory
Tax ID family
Ivy Griffin2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1454371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454371200000",
    "number": "1497113781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 CAPITOL AVE STE 302",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958114242",
            "telephone_number": "916-905-2214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 CAPITOL AVE STE 302",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958114242",
            "telephone_number": "916-905-2214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVY GRIFFIN PRIVATE PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-02",
        "last_updated": "2016-02-02",
        "status": "A",
        "authorized_official_last_name": "GROSSMAN",
        "authorized_official_first_name": "ARIELLE",
        "authorized_official_title_or_position": "MFT INTERN #90359",
        "authorized_official_telephone_number": "916-905-2214",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "90359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.