Individual provider Active NPI

Michael Simen Ginzburg, MA

  • Marriage & Family Therapist
  • Sacramento, CA
National Provider Identifier
1992007710
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
113095 Issued in CA
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

Updated by the provider on Jan 5, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
113095CAMDMarriage & Family Therapist
CO004912CAMDSpecialist

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.

Verify at the official NPI Registry.