Active NPI
Sherry-Lynn Sarmiento Fahey
- Marriage & Family Therapist
- Vallejo, CA
National Provider Identifier
1902960305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC 46910
- Practice address
- 355 Tuolumne St # Ms 20-100
Vallejo, CA 94590-5700 - Phone
- (707) 553-5380
- Fax
- (707) 553-5824
- NPI assigned
- Dec 20, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | IMF 49281 | CA | |
| Marriage & Family Therapist | 106H00000X | MFC 46910 | CA | Primary |
Addresses
Primary practice location
355 Tuolumne St # Ms 20-100
Vallejo, CA 94590-5700
Mailing address
355 Tuolumne St # Ms 20-100
Vallejo, CA 94590-5700
Phone (707) 553-5380
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 |
|---|---|---|---|
| IMF 49281 | CA | MD | Marriage & Family Therapist |
| MFC 46910 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Berkeley Youth Alternatives | Past | Accepting new patients | |
| Berkeley Youth Alternatives | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Berkeley, CA
- NPI 1275724742
-
- Community/Behavioral Health Agency
- Berkeley, CA
- NPI 1689424731
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607558400000",
"number": "1902960305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "355 TUOLUMNE ST # MS 20-100",
"city": "VALLEJO",
"state": "CA",
"postal_code": "945905700",
"telephone_number": "707-553-5380",
"fax_number": "707-553-5824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 TUOLUMNE ST # MS 20-100",
"city": "VALLEJO",
"state": "CA",
"postal_code": "945905700",
"telephone_number": "707-553-5380",
"fax_number": "707-553-5824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAHEY",
"first_name": "SHERRY-LYNN",
"middle_name": "SARMIENTO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-20",
"last_updated": "2020-12-10",
"certification_date": "2020-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "IMF 49281",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC 46910",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vallejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.