Active NPI
Paul Innerarity, M.A., LMFT
- Marriage & Family Therapist
- Sacramento, CA
National Provider Identifier
1558388116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 42406
- Practice address
- 820 18TH St
Sacramento, CA 95814-2117 - Phone
- (916) 310-0716
- Fax
- (916) 685-0815
- NPI assigned
- Jul 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 42406 | CA | Primary |
Addresses
Primary practice location
820 18TH St
Sacramento, CA 95814-2117
Mailing address
820 18TH St
Sacramento, CA 95814-2117
Phone (916) 310-0716
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 368499 | Other | CA | MANAGED HEALTH NETWORK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42406 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1558388116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 18TH ST",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958142117",
"telephone_number": "916-310-0716",
"fax_number": "916-685-0815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 18TH ST",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958142117",
"telephone_number": "916-310-0716",
"fax_number": "916-685-0815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INNERARITY",
"first_name": "PAUL",
"name_prefix": "Mr.",
"credential": "M.A., LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "42406",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MANAGED HEALTH NETWORK",
"identifier": "368499",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
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- Innova Pharmacy of Arden-Arcade
- Innovage California Pace-Sacramento, LLC (InnovAge California PACE-Sacramento)
- Innovative DME LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.