Active NPI
Carlyn Peri Spencer, M.A. MFT-I
- Marriage & Family Therapist
- Carmichael, CA
National Provider Identifier
1699076554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 66936
- Practice address
- 6147 Sutter Ave
Carmichael, CA 95608-2738 - Phone
- (916) 971-7640
- NPI assigned
- Nov 9, 2010
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Marriage & Family Therapist | 106H00000X | 66936 | CA | Primary |
Addresses
Primary practice location
6147 Sutter Ave
Carmichael, CA 95608-2738
Mailing address
5515 Macdonald Ave
El Cerrito, CA 94530-1639
Phone (775) 303-7363
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 66936 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321920000000",
"number": "1699076554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5515 MACDONALD AVE",
"city": "EL CERRITO",
"state": "CA",
"postal_code": "945301639",
"telephone_number": "775-303-7363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6147 SUTTER AVE",
"city": "CARMICHAEL",
"state": "CA",
"postal_code": "956082738",
"telephone_number": "916-971-7640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCER",
"first_name": "CARLYN",
"middle_name": "PERI",
"credential": "M.A. MFT-I",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-09",
"last_updated": "2011-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "66936",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carmichael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.