Active NPI
Taylor Jacob Baldwin
- Marriage & Family Therapist
- Sacramento, CA
National Provider Identifier
1740821727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- AMFT130712
- Practice address
- 2230 Stockton Blvd
Sacramento, CA 95817-1353 - Phone
- (916) 734-3574
- NPI assigned
- Oct 1, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Marriage & Family Therapist | 106H00000X | AMFT130712 | CA | Primary |
Addresses
Primary practice location
2230 Stockton Blvd
Sacramento, CA 95817-1353
Mailing address
PO Box 72984
Davis, CA 95617-2984
Phone (530) 564-6637
Other practice location 1
3671 Business Dr
Sacramento, CA 95820-2197
Phone (916) 734-8396
Other practice location 2
9343 Tech Center Dr
Sacramento, CA 95826-2563
Phone (916) 388-6400
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 |
|---|---|---|---|
| AMFT130712 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emq Families First | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680048000000",
"number": "1740821727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 72984",
"city": "DAVIS",
"state": "CA",
"postal_code": "956172984",
"telephone_number": "530-564-6637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2230 STOCKTON BLVD",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958171353",
"telephone_number": "916-734-3574"
}
],
"practiceLocations": [
{
"address_1": "3671 Business Dr",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958202197",
"country_code": "US",
"telephone_number": "916-734-8396",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9343 Tech Center Dr",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958262563",
"country_code": "US",
"telephone_number": "916-388-6400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BALDWIN",
"first_name": "TAYLOR",
"middle_name": "JACOB",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-10-01",
"last_updated": "2023-03-29",
"certification_date": "2023-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "AMFT130712",
"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 Mar 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.