Sarah Gwen Pena

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

LEP3651 Issued in CA

Practice address

299 Shasta Dr Unit 23
Vacaville, CA 95687-4967

Phone

(707) 470-9217

NPI assigned

Aug 18, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1660780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1710605308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 SHASTA DR UNIT 23",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956874967",
            "telephone_number": "707-470-9217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 SHASTA DR UNIT 23",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956874967",
            "telephone_number": "707-470-9217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "SARAH",
        "middle_name": "GWEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-18",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "CA",
            "license": "LEP3651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "sarah.pena@presencelearning.com",
            "affiliation": "N",
            "endpointDescription": "Independent Contractor",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "299 Shasta Dr Unit 23",
            "city": "Vacaville",
            "state": "CA",
            "country_code": "US",
            "postal_code": "956874967",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cynthia M. Peffers, BC-HIS
• Casey Mae Pelletier, PA-C
• Anahy Pena Lemus, BEHAVIOR THERAPIST
• Gisselle Pena Maldonado
• Jaime Alicia Pena
• Juan Fidel Penaloza Pacheco, MD
• Keen Penkian
• Judy Liang Pereira
• Sara Beth Perez
• Jedidah Perkins

• School Psychologist in Vacaville, CA
• Providers in Vacaville, CA by specialty
• School Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; 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.