Healthcare Provider Details

I. General information

NPI: 1427789023
Provider Name (Legal Business Name): DAIRYA EMERSON-LEVI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/23/2022
Last Update Date: 08/22/2025
Certification Date: 08/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2360 EL CAMINO AVE
SACRAMENTO CA
95821-5611
US

IV. Provider business mailing address

PO BOX 5505
SACRAMENTO CA
95817-0505
US

V. Phone/Fax

Practice location:
  • Phone: 916-979-1788
  • Fax:
Mailing address:
  • Phone: 707-694-5325
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: