Lyca Carroll Sedaka, M.S, LMFT, LEP, NCSP

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT101200 Issued in CA

Practice address

3590 Savage Ave
Pinole, CA 94564-1250

Phone

(510) 717-5740

NPI assigned

Sep 18, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Lyca Carroll O'Loughlin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 15, 2024 through Feb 15, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1442534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1639548753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 PEAR ST UNIT 358",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945646019",
            "telephone_number": "925-725-9530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3590 SAVAGE AVE",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945641250",
            "telephone_number": "510-717-5740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2465 Dolan Way",
            "address_purpose": "LOCATION",
            "city": "San Pablo",
            "state": "CA",
            "postal_code": "948061668",
            "country_code": "US",
            "telephone_number": "510-307-4630 x26741",
            "fax_number": "510-724-8829",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEDAKA",
        "first_name": "LYCA",
        "middle_name": "CARROLL",
        "credential": "M.S, LMFT, LEP, NCSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-18",
        "last_updated": "2021-10-20",
        "certification_date": "2021-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "CA",
            "license": "LEP3632",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT101200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYCA",
            "last_name": "O'LOUGHLIN",
            "middle_name": "CARROLL",
            "credential": "M.S, LMFT, LEP, NCSP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Celianna Esmeralda Sanchez
• Richard Marc Sankary, M.D.
• Ann Christine Schroeckenstein
• Amy Nicole Scott, PH.D. NCSP
• Desiree Camilia Scott
• Madhura Sen
• Armen Serebrakian, M.D.
• Serramonte Pulmonary, Asthma Sleep Clinic Inc.
• Amir Shababi, D.C.
• Sogol Shafieiadl, M.S.

• Marriage & Family Therapist in Pinole, CA
• Providers in Pinole, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.