Active NPI
Dixie L. Tyler, MFT
- Marriage & Family Therapist
- Sacramento, CA
National Provider Identifier
1881720142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC20685
- Practice address
- 3160 Folsom Blvd
Sacramento, CA 95816-5219 - Phone
- (916) 733-3333
- NPI assigned
- Feb 23, 2007
- Sex
- Female
- 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 | MFC20685 | CA | Primary |
Addresses
Primary practice location
3160 Folsom Blvd
Sacramento, CA 95816-5219
Mailing address
1792 Tribute Rd
Suite 350
Sacramento, CA 95815-4305
Phone (916) 924-6400
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5030395 | Other | CA | AETNA |
| MFC20685 | Other | CA | BLUE CROSS |
| 1436131 | Other | CA | PACIFICARE |
| MCMG382000 | Other | CA | WESTERN HEALTH ADVANTAGE |
| 5717866 | Other | CA | FIRST HEALTH |
| 000810824359 | Other | CA | PHCS |
| 1145588 | Other | CA | GREAT WEST |
| 257719 | Other | CA | INTERPLAN |
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 |
|---|---|---|---|
| MFC20685 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1881720142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1792 TRIBUTE RD",
"address_2": "SUITE 350",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958154305",
"telephone_number": "916-924-6400",
"fax_number": "916-648-0196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3160 FOLSOM BLVD",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958165219",
"telephone_number": "916-733-3333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYLER",
"first_name": "DIXIE",
"middle_name": "L.",
"credential": "MFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC20685",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5030395",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "MFC20685",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PACIFICARE",
"identifier": "1436131",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WESTERN HEALTH ADVANTAGE",
"identifier": "MCMG382000",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "5717866",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "000810824359",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT WEST",
"identifier": "1145588",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INTERPLAN",
"identifier": "257719",
"state": "CA"
}
],
"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 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.