Active NPI
Michael Simen Ginzburg, MA
- Marriage & Family Therapist
- Sacramento, CA
National Provider Identifier
1992007710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 113095
- Practice address
- 3090 Fite Cir Ste 102
Sacramento, CA 95827-1810 - Phone
- (916) 549-3466
- NPI assigned
- Nov 30, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | CO004912 | CA | |
| Marriage & Family Therapist | 106H00000X | 113095 | CA | Primary |
Addresses
Primary practice location
3090 Fite Cir Ste 102
Sacramento, CA 95827-1810
Mailing address
3090 Fite Cir Ste 102
Sacramento, CA 95827-1810
Phone (916) 549-3466
Other practice location 1
3810 Rosin Ct Ste 180
Sacramento, CA 95834-1656
Phone (916) 364-8395
Other practice location 2
4860 Y St
ste 1100
Sacramento, CA 95817
Phone (916) 734-6732
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 |
|---|---|---|---|
| 113095 | CA | MD | Marriage & Family Therapist |
| CO004912 | CA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704412800000",
"number": "1992007710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3090 FITE CIR STE 102",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958271810",
"telephone_number": "916-549-3466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3090 FITE CIR STE 102",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958271810",
"telephone_number": "916-549-3466"
}
],
"practiceLocations": [
{
"address_1": "3810 Rosin Ct Ste 180",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958341656",
"country_code": "US",
"telephone_number": "916-364-8395",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4860 Y St",
"address_2": "ste 1100",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "95817",
"country_code": "US",
"telephone_number": "916-734-6732",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GINZBURG",
"first_name": "MICHAEL",
"middle_name": "SIMEN",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-11-30",
"last_updated": "2024-01-05",
"certification_date": "2024-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "CO004912",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "113095",
"primary": true
}
],
"identifiers": [],
"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 Jan 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.