NPIMap

Organization Active NPI

Father Keith B. Kenney Elementary School

  • Addiction (Substance Use Disorder) Counselor
  • Sacramento, CA
National Provider Identifier
1679706444
Registry record updated Aug 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
340008AN Issued in CA
Legal business name
FATHER KEITH B. KENNEY ELEMENTARY SCHOOL
Practice address
3307 Broadway Ste 100
Sacramento, CA 95817-2821
Phone
(916) 454-4242
Fax
(916) 454-2930
NPI assigned
Aug 27, 2009
Last updated
Aug 27, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
SACRAMENTO BLACK ALCOHOLISM CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 27, 2009

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

Authorized official

Name
Ms. Sandra Hill, AANPI 1740356815
Title
Executive Director
Phone
(916) 454-4242

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 340008AN CA Primary

Addresses

Primary practice location

3307 Broadway Ste 100
Sacramento, CA 95817-2821

Mailing address

3307 Broadway Ste 100
Sacramento, CA 95817-2821
Phone (916) 454-4242

National Provider Directory

National Provider Directory
Tax ID family
Sacramento City Unified School District6 organizations share this tax ID, including this one
Part of
Lutheran Social Services of Northern California

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3307 Broadway
Ste 100
Sacramento, CA 95817

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251331200000",
    "number": "1679706444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3307 BROADWAY STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172821",
            "telephone_number": "916-454-4242",
            "fax_number": "916-454-2930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3307 BROADWAY STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172821",
            "telephone_number": "916-454-4242",
            "fax_number": "916-454-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FATHER KEITH B. KENNEY ELEMENTARY SCHOOL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SACRAMENTO BLACK ALCOHOLISM CENTER",
        "enumeration_date": "2009-08-27",
        "last_updated": "2009-08-27",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "916-454-4242",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "AA"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "340008AN",
            "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 Aug 27, 2009; 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.