MICHAEL LANE (NPI# 1679923353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679923353 |
| Entity Type | Individual |
| Full Name | MICHAEL LANE |
| Credential | CPRP |
| Practice Address |
9719 Lincoln Village Dr Suite 300 Sacramento CA 95827-3303 |
| Practice Telephone | 9164854175 |
| Practice Fax Number | 9164852673 |
| Mailing Telephone | 9164854175 |
| Mailing Fax Number | 9164852673 |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2016-06-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104344795 | Michael Carrington Lane | Occupational Therapy Assistant | 550 White Plains Rd, Eastchester, NY 10709-5506 | 2017-09-02 |
| 1376637116 | Michael Conrad Lane | Chiropractor | 871 East 100 South, Salt Lake City, UT 84102 | 2006-10-03 |
| 1073573465 | Michael W. Lane | Specialist | 5035 W. 71st St., Ste E, Indianapolis, IN 46228 | 2006-03-28 |
| 1962042358 | Michael James Lane | Specialist/Technologist | 4331 S Fremont Ave, Springfield, MO 65804-7328 | 2020-01-13 |
| 1801357447 | Michael Lane | Nurse Practitioner | 4417 Vestal Pkwy E, Vestal, NY 13850-3556 | 2019-03-27 |
| 1891259503 | Michael Lane | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2019-01-27 |
| 1073007159 | Michael Lane | Family Medicine | 1900 Columbus Ave, Bay City, MI 48708 | 2018-06-21 |
| 1992259949 | Michael Lane | Physical Therapist | 1201 N Cummings Ln, Washington, IL 61571-9267 | 2016-08-08 |
| 1447664859 | Michael Lindberg Lane | Hospitalist | 30 N 1900 E, Room 4c104, Salt Lake City, UT 84132-0002 | 2014-06-13 |
| 1811318546 | Michael Lane | Counselor | 2802 Broadway, Everett, WA 98201-3642 | 2013-12-24 |
| Street Address |
9719 LINCOLN VILLAGE DR SUITE 300 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95827-3303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639179658 | Diogenes Youth Services Inc | Clinic/Center | 9719 Lincoln Village Dr, Ste 203, Sacramento, CA 95827-3303 | 2005-08-01 |
| 1366987364 | Maren Meyer | Counselor | 9719 Lincoln Village Dr, Suite 105, Sacramento, CA 95827-3303 | 2016-12-29 |
| 1265833123 | Aspen Hall | Student in an Organized Health Care Education/Training Program | 9719 Lincoln Village Dr, 300, Sacramento, CA 95827-3303 | 2014-09-10 |
| 1720269566 | Danny Choua Fang | Counselor | 9719 Lincoln Village Dr, Sacramento, CA 95827-3303 | 2007-11-20 |
| 1306025465 | Robyn Huetter | Registered Nurse | 9719 Lincoln Village Dr, Suite 605b, Sacramento, CA 95827-3303 | 2007-10-25 |
| 1801082755 | Diep K Trinh | Registered Nurse | 9719 Lincoln Village Dr, Suite 605 B, Sacramento, CA 95827-3303 | 2007-09-24 |
| 1598951717 | Jesus Garcia | Registered Nurse | 9719 Lincoln Village Dr, Suite 300a, Sacramento, CA 95827-3303 | 2007-09-20 |
| 1497949143 | Lynnan Gail Svensson | Registered Nurse | 9719 Lincoln Village Dr, Suite 605b, Sacramento, CA 95827-3303 | 2007-09-05 |
| 1689868556 | Debra Nussbaum | Registered Nurse | 9719 Lincoln Village Dr, Suite 605, Sacramento, CA 95827-3303 | 2007-09-04 |
| 1538375464 | Lynnette Marie Funez | Social Worker | 9719 Lincoln Village Dr, Sacramento, CA 95827-3303 | 2007-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275170235 | Amy Braley | Occupational Therapist | Love Joy Adhc, 10293 Rockingham Dr, Sacramento, CA 95827 | 2019-12-09 |
| 1164078598 | Theresa Marie Reich | Home Health Aide | 9819 Lebra Avenue, Sacramento, CA 95827 | 2019-08-12 |
| 1790257475 | Elissa Beth Crandall | Counselor | 3353 Bradshaw Rd Ste 112, Sacramento, CA 95827 | 2018-12-19 |
| 1649746900 | Christopher Avery Di Domenico | Counselor | North Site: 4441 Auburn Blvd, Suite E, Sacramento, CA 95827 | 2018-10-15 |
| 1285156661 | Keith Ramon Blakely | Counselor | 9738 Lincoln Village, Sacramento, CA 95827 | 2017-07-07 |
| 1376065755 | Julianne Marlene Divirgilio | Counselor | 9738 Lincoln Village Dr., Sacramento, CA 95827 | 2017-07-07 |
| 1275981409 | Carl Phillips Jr. | Counselor | 2819 Pepper Oaks Dr, Sacramento, CA 95827 | 2016-05-27 |
| 1316335581 | Nancy Khun | Counselor | 3990 Branch Center Rd., Sacramento, CA 95827 | 2014-12-22 |
| 1750623385 | Davidshka Lynel Shavers | Counselor | 3340 Viking Dr, Suite 114, Sacramento, CA 95827 | 2013-03-21 |
| 1114263803 | John Kwamena Bankas | Marriage & Family Therapist | 9837 Folsom Blvd., Ste. F, Sacramento, CA 95827 | 2012-12-27 |
| Find all providers in zip 95827 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730813 | Debrah Deans Therapy | Counselor | 1023 H St Ste B5, Sacramento, CA 95814-2815 | 2020-11-02 |
| 1417554007 | Norman Plotkin | Counselor | 717 K St Ste 430, Sacramento, CA 95814-3477 | 2020-10-06 |
| 1841806049 | Alexis C Nicodemus | Counselor | 10419 Old Placerville Rd, Sacramento, CA 95827-2509 | 2020-09-22 |
| 1265047310 | Pamela J Hammon | Counselor | 5572 Lackland Way, Sacramento, CA 95835-1540 | 2020-09-14 |
| 1164031357 | Dawn Patriece Carter | Counselor | 7215 Kara Dr, Sacramento, CA 95828-3506 | 2020-07-23 |
| 1821616103 | Chrystal Rene Baisley | Counselor | 3550 Watt Ave Ste 3, Sacramento, CA 95821-2668 | 2020-07-13 |
| 1417595422 | Kaeo Vang | Counselor | 906 G St Ofc 539, Sacramento, CA 95814-1800 | 2019-12-20 |
| 1780227298 | Alina A Sala | Counselor | 248 Arbor Crest Way, Sacramento, CA 95838-2031 | 2019-10-28 |
| 1144885963 | Jennifer Salvi | Counselor | 460 Drake Cir, Sacramento, CA 95864-5666 | 2019-05-07 |
| 1609431048 | Jessica Joanne Higgins Magana | Counselor | 6600 44th St Ste A, Sacramento, CA 95823-1260 | 2019-05-01 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95827 |
Please comment or provide details below to improve the information on MICHAEL LANE.
| 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.