Individual provider Active NPI

Sandra Jean Cretney, MFTI

  • Marriage & Family Therapist
  • North Highlands, CA
National Provider Identifier
1760588917
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
IMF 48887 Issued in CA
Practice address
3437 Myrtle Ave Ste 420
North Highlands, CA 95660-5147
Phone
(916) 338-6835
Fax
(916) 338-6839
NPI assigned
Sep 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X IMF 48887 CA Primary

Addresses

Primary practice location

3437 Myrtle Ave Ste 420
North Highlands, CA 95660-5147

Mailing address

4241 Florin Rd Ste 110
Sacramento, CA 95823-2535
Phone (916) 394-2320

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

LicenseStateTypeSpecialty
IMF 48887CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mexican American Addiction Program, Inc. 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": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760588917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4241 FLORIN RD STE 110",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958232535",
            "telephone_number": "916-394-2320",
            "fax_number": "916-394-2453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3437 MYRTLE AVE STE 420",
            "city": "NORTH HIGHLANDS",
            "state": "CA",
            "postal_code": "956605147",
            "telephone_number": "916-338-6835",
            "fax_number": "916-338-6839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRETNEY",
        "first_name": "SANDRA",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "MFTI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF 48887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Highlands, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.