Active NPI
Sean William Bezdek, MFT
- Marriage & Family Therapist
- Roseville, CA
National Provider Identifier
1821292962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 39275
- Practice address
- 9984 Niblick Dr
Suite 2
Roseville, CA 95678-7017 - Phone
- (916) 945-3601
- NPI assigned
- Jun 13, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 39275 | CA | Primary |
Addresses
Primary practice location
9984 Niblick Dr
Suite 2
Roseville, CA 95678-7017
Mailing address
9984 Niblick Dr
Suite 2
Roseville, CA 95678-7017
Phone (916) 945-3601
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 10, 2024 through Feb 10, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423526400000",
"number": "1821292962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9984 NIBLICK DR",
"address_2": "SUITE 2",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956787017",
"telephone_number": "916-945-3601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9984 NIBLICK DR",
"address_2": "SUITE 2",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956787017",
"telephone_number": "916-945-3601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEZDEK",
"first_name": "SEAN",
"middle_name": "WILLIAM",
"name_prefix": "Mr.",
"credential": "MFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-13",
"last_updated": "2015-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "39275",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.