Sacramento Transformation Center

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SACRAMENTO TRANSFORMATION CENTER

Practice address

2830 I St # 105
Sacramento, CA 95816-4311

Phone

(916) 462-1642

NPI assigned

Dec 26, 2021

Last updated

Dec 26, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Camille Martin, LCSWNPI 1366612590

Title

Provider

Phone

(916) 462-1642

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Camille Martin, LCSW

  • Clinical Social Worker
  • Sacramento, CA
  • NPI 1366612590
  Authorized official Same address or phone

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

{
    "created_epoch": "1640476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640476800000",
    "number": "1609536168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2830 I ST # 105",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958164311",
            "telephone_number": "916-462-1642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2830 I ST # 105",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958164311",
            "telephone_number": "916-462-1642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRAMENTO TRANSFORMATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-26",
        "last_updated": "2021-12-26",
        "certification_date": "2021-12-26",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "CAMILLE",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "916-462-1642",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2021; 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.