Individual provider Active NPI

Cynthia Joyce Estavillo Lopez, MSC, MFCT

  • Marriage & Family Therapist
  • Sacramento, CA
National Provider Identifier
1609911650
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
112475 Issued in CA
Practice address
3840 Rosin CT Ste 100
Sacramento, CA 95834-1645
Phone
(916) 956-6747
Fax
(916) 429-7824
NPI assigned
Feb 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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 112475 CA Primary

Addresses

Primary practice location

3840 Rosin CT Ste 100
Sacramento, CA 95834-1645

Mailing address

3840 Rosin CT Ste 100
Sacramento, CA 95834-1645
Phone (916) 956-6747

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

State licenses

LicenseStateTypeSpecialty
112475CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Turning Point Community Programs PastSince Jan 1, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708646400000",
    "number": "1609911650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3840 ROSIN CT STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958341645",
            "telephone_number": "916-956-6747",
            "fax_number": "916-429-7824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3840 ROSIN CT STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958341645",
            "telephone_number": "916-956-6747",
            "fax_number": "916-429-7824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "CYNTHIA",
        "middle_name": "JOYCE ESTAVILLO",
        "name_prefix": "Ms.",
        "credential": "MSC, MFCT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "112475",
            "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 23, 2024; 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.