AMANDA NUGENT DIVINE (NPI# 1417178195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417178195 |
| Entity Type | Individual |
| Full Name | AMANDA NUGENT DIVINE |
| Credential | M.S., LMFT |
| Practice Address |
3780 Rosin Ct Suite 110 Sacramento CA 95834-1646 |
| Mailing Address |
3533 Lambeth Dr Rescue CA 95672-9391 |
| Practice Telephone | 9164177374 |
| Mailing Telephone | 3106630752 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2012-03-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
67208 | TX | Behavioral Health & Social Service Providers |
| Y | 106H00000X | Marriage & Family Therapist | 46360 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336591049 | Amanda Gail Divine | Nurse Practitioner | 8725 E 32nd St N, Wichita, KS 67226-4008 | 2016-07-06 |
| Street Address |
3780 ROSIN CT SUITE 110 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95834-1646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043868458 | Keshia Lyons | Case Manager/Care Coordinator | 3780 Rosin Ct, Sacramento, CA 95834-1646 | 2019-08-28 |
| 1902460371 | Rachel Rose Cooper | Student in an Organized Health Care Education/Training Program | 3780 Rosin Ct, Sacramento, CA 95834-1646 | 2019-04-30 |
| 1154819480 | Alan J Coulter | Case Manager/Care Coordinator | 3780 Rosin Ct, Sacramento, CA 95834-1646 | 2018-04-23 |
| 1972036440 | Hassan Conteh | Licensed Vocational Nurse | 3780 Rosin Ct, Sacramento, CA 95834-1646 | 2017-04-11 |
| 1770024226 | Austin Santos | Case Manager/Care Coordinator | 3780 Rosin Ct, Suite 130, Sacramento, CA 95834-1646 | 2017-03-16 |
| 1013457548 | Deborah Nyanzu | Counselor | 3780 Rosin Ct, Suite 110, Sacramento, CA 95834-1646 | 2017-03-02 |
| 1871943357 | Karen Simmons | Counselor | 3780 Rosin Ct, Sacramento, CA 95834-1646 | 2016-06-15 |
| 1568828036 | Beverly Tidwell | Counselor | 3780 Rosin Ct, #110, Sacramento, CA 95834-1646 | 2016-01-13 |
| 1427441351 | Joshua Opena | Social Worker | 3780 Rosin Ct, Sacramento, CA 95834-1646 | 2015-03-17 |
| 1689083644 | El Hogar | Community/Behavioral Health | 3780 Rosin Ct, Sacramento, CA 95834-1646 | 2014-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871085209 | Yen T Tran | Student in an Organized Health Care Education/Training Program | 3810 Rosin Ct Suite 170, Sacramento, CA 95834 | 2018-06-01 |
| 1326557620 | Mariah N Calpo | Registered Nurse | 601 North Market, Sacramento, CA 95834 | 2017-09-29 |
| 1710400700 | Rose Medical Transportation | Driver | 4330 Natomas Central Dr, Sacramento, CA 95834 | 2017-07-20 |
| 1801319066 | Caitlin Janae Lluen | Physical Medicine & Rehabilitation | 1948 Del Paso Road Suite 135, Sacramento, CA 95834 | 2017-07-19 |
| 1083152169 | Irene Enriquez Ramos | Social Worker | 3627 Broadland Street, Sacramento, CA 95834 | 2017-02-08 |
| 1609322973 | Zachary Estrada | Student in an Organized Health Care Education/Training Program | 3780 Rosic Court, Ste 130, Sacramento, CA 95834 | 2016-08-28 |
| 1104287465 | Mark David Levine, Mbr | Psychiatry & Neurology | 3835 N. Freeway Blvd., Suite 100, Sacramento, CA 95834 | 2016-03-15 |
| 1376902767 | Peter Yang | Case Manager/Care Coordinator | 3870 Rosin Court Ste 130, Sacramento, CA 95834 | 2016-02-15 |
| 1346615739 | Renee Joyce Eckley Reinhardt | Nurse Practitioner | 4100 E Commerce Way Suite 100, Sacramento, CA 95834 | 2015-12-10 |
| 1558779454 | Hanh Tran I | Pharmacist | 3769 Broadland St, Sacramento, CA 95834 | 2014-07-24 |
| Find all providers in zip 95834 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750982229 | Kira Schetter | Marriage & Family Therapist | 2 Lido Cir, Sacramento, CA 95826-1613 | 2020-11-02 |
| 1730788829 | Amanda Lee Morgan | Marriage & Family Therapist | 3650 Auburn Blvd Ste 208c, Sacramento, CA 95821-2069 | 2020-10-20 |
| 1548878853 | John Wunderley | Marriage & Family Therapist | 5311 D St, Sacramento, CA 95819-3011 | 2020-07-22 |
| 1871115881 | Stacia Ponce | Marriage & Family Therapist | 5332 Calistoga Way, Sacramento, CA 95841-2104 | 2020-05-12 |
| 1376164566 | Kirsten Leitner, Licensed Marriage & Family Therapist, A Prof. Corp. | Marriage & Family Therapist | 2830 I St Ste 306, Sacramento, CA 95816-4311 | 2020-04-29 |
| 1558990317 | Dr. J. Marriage & Family Therapy Inc. | Marriage & Family Therapist | 9845 Horn Rd Ste 190, Sacramento, CA 95827-1948 | 2020-04-03 |
| 1578197257 | Christopher Quiery | Marriage & Family Therapist | 3741 Bridgehaven Way, Sacramento, CA 95834-1677 | 2020-03-03 |
| 1881239333 | Deborah Kjeldsen | Marriage & Family Therapist | 1731 I St Ste 202, Sacramento, CA 95811-3001 | 2019-11-08 |
| 1457993172 | Melissa Alvarez Fernandez | Marriage & Family Therapist | 4438 62nd St, Sacramento, CA 95820-4242 | 2019-10-15 |
| 1942850359 | Paul Hyppolite | Marriage & Family Therapist | 10 Tanfield Ct, Sacramento, CA 95833-2602 | 2019-09-17 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95834 |
Please comment or provide details below to improve the information on AMANDA NUGENT DIVINE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.