Active NPI
Dina L Sanders-Mayfield
- Marriage & Family Therapist
- Fairfield, CA
National Provider Identifier
1669097457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 119230
- Practice address
- 801 Empire St
Fairfield, CA 94533-5702 - Phone
- (707) 425-5744
- Fax
- (707) 425-5162
- NPI assigned
- Jun 8, 2020
- Last updated
- Mar 5, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 7876 | CA | |
| Marriage & Family Therapist | 106H00000X | 119230 | CA | Primary |
Addresses
Primary practice location
801 Empire St
Fairfield, CA 94533-5702
Mailing address
PO Box 2433
Fairfield, CA 94533-0243
Phone (510) 326-4393
Other practice location 1
1745 Enterprise Dr
Fairfield, CA 94533-5801
Phone (707) 927-4282
Other names 1
- Dina L Mayfield
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Virtue | Health Information Exchange (HIE) | Agape Counseling Center and 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 119230 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614902400000",
"number": "1669097457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2433",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945330243",
"telephone_number": "510-326-4393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 EMPIRE ST",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945335702",
"telephone_number": "707-425-5744",
"fax_number": "707-425-5162"
}
],
"practiceLocations": [
{
"address_1": "1745 Enterprise Dr",
"address_purpose": "LOCATION",
"city": "Fairfield",
"state": "CA",
"postal_code": "945335801",
"country_code": "US",
"telephone_number": "707-927-4282",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANDERS-MAYFIELD",
"first_name": "DINA",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-08",
"last_updated": "2021-03-05",
"certification_date": "2021-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "7876",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "119230",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Virtue",
"affiliation": "Y",
"affiliationName": "Agape Counseling Center and Network",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1745 Enterprise Dr",
"address_2": "Bldg 2",
"city": "Fairfield",
"state": "CA",
"country_code": "US",
"postal_code": "945335801",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "DINA",
"last_name": "MAYFIELD",
"middle_name": "L",
"credential": "MAYFIELD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Fairfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.