Active NPI
David B Kinney, MA
- Marriage & Family Therapist
- West Sacramento, CA
National Provider Identifier
1972793131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 52525
- Practice address
- 2101 Stone Blvd
Suite 240 Sacramento Family Therapy
West Sacramento, CA 95691-4056 - Phone
- (916) 716-1024
- NPI assigned
- Jul 25, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 52525 | CA | Primary |
Addresses
Primary practice location
2101 Stone Blvd
Suite 240 Sacramento Family Therapy
West Sacramento, CA 95691-4056
Mailing address
4900 Willow Vale Way
Elk Grove, CA 95758-4102
Phone (916) 716-1024
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52525 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291852800000",
"number": "1972793131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4900 WILLOW VALE WAY",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "957584102",
"telephone_number": "916-716-1024",
"fax_number": "916-684-4201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 STONE BLVD",
"address_2": "SUITE 240 SACRAMENTO FAMILY THERAPY",
"city": "WEST SACRAMENTO",
"state": "CA",
"postal_code": "956914056",
"telephone_number": "916-716-1024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINNEY",
"first_name": "DAVID",
"middle_name": "B",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-25",
"last_updated": "2010-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "52525",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.