Jeanne Renee Racik

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

90787 Issued in CA

Practice address

138 New Mohawk Rd
Suite 200
Nevada City, CA 95959-3244

Phone

(530) 478-0900

NPI assigned

Feb 3, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1454457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454457600000",
    "number": "1841658945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 COURT ST",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959592209",
            "telephone_number": "303-875-9933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 NEW MOHAWK RD",
            "address_2": "SUITE 200",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959593244",
            "telephone_number": "530-478-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RACIK",
        "first_name": "JEANNE RENEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-03",
        "last_updated": "2016-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "90787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Nevada City, CA
• Providers in Nevada City, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2016; 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.