Sarah Payton, APCC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

12959 Issued in CA

Practice address

197 E Hamilton Ave Ste 203
Campbell, CA 95008-0261

Phone

(201) 220-7645

NPI assigned

Mar 6, 2023

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1508566894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 VENTURA CANYON AVE UNIT 306",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914027711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 E HAMILTON AVE STE 203",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950080261",
            "telephone_number": "201-220-7645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYTON",
        "first_name": "SARAH",
        "name_prefix": "Ms.",
        "credential": "APCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "12959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF BEHAVIORAL SCIENCES: APCC",
            "identifier": "12959",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Samantha Nicole-Holland Pelletier
• Pellicani Chiropractic Corp

• Counselor in Campbell, CA
• Providers in Campbell, CA by specialty
• Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; 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.