Individual provider Active NPI

Bethany T Wheeler Malenab, LMFT

  • Marriage & Family Therapist
  • Sacramento, CA
National Provider Identifier
1962750562
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
88209 Issued in CA
Practice address
601 University Ave Ste 145
Sacramento, CA 95825-6738
Phone
(916) 716-2679
NPI assigned
Aug 29, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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 88209 CA Primary

Addresses

Primary practice location

601 University Ave Ste 145
Sacramento, CA 95825-6738

Mailing address

601 University Ave Ste 145
Sacramento, CA 95825-6738
Phone (916) 716-2679

Other names 1

  • Bethany Wheeler Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240808002466 CA Practitioner - Marriage and Family Therapist 5991242802 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
88209CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Permanente Medical Group, Inc CurrentSince Jul 1, 2024 Accepting new patients
Permanente Medical Group Inc CurrentSince Jul 1, 2024 Accepting new patients
Permanente Medical Group Inc Current Accepting new patients

Locations

7300 Wyndham Dr
Sacramento, CA 95823
Phone (916) 525-6100

Organizations & group practices 3

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": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1962750562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 UNIVERSITY AVE STE 145",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958256738",
            "telephone_number": "916-716-2679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 UNIVERSITY AVE STE 145",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958256738",
            "telephone_number": "916-716-2679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER MALENAB",
        "first_name": "BETHANY",
        "middle_name": "T",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-29",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "88209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETHANY",
            "last_name": "WHEELER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.