Healthcare Provider Details

I. General information

NPI: 1043878820
Provider Name (Legal Business Name): SARAH KAY WHITNEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2019
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2102 BUSINESS CENTER DR
IRVINE CA
92612-1001
US

IV. Provider business mailing address

2102 BUSINESS CENTER DR
IRVINE CA
92612-1001
US

V. Phone/Fax

Practice location:
  • Phone: 949-345-1896
  • Fax:
Mailing address:
  • Phone: 949-345-1896
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberAMFT164007
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: