Healthcare Provider Details

I. General information

NPI: 1942743836
Provider Name (Legal Business Name): PATRICK MENGER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/23/2016
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3870 ROSIN CT STE 130
SACRAMENTO CA
95834-1620
US

IV. Provider business mailing address

3870 ROSIN CT STE 130
SACRAMENTO CA
95834-1647
US

V. Phone/Fax

Practice location:
  • Phone: 916-363-1553
  • Fax:
Mailing address:
  • Phone:
  • 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: