MEDICARE: IVY GRIFFIN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	51714	CA

General Provider Information

NPI Number	:	1922532969
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IVY GRIFFIN

Provider Business Mailing Address
First Line	:	1614 X ST STE A
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95818-2300
Country	:	US
Telephone Number	:	916-287-3430
Fax Number	:

Provider Business Practice Location Address
First Line	:	1614 X ST STE A
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95818-2300
Country	:	US
Telephone Number	:	916-287-3430
Fax Number	:

Authorized Official
Title or Position	:	LMFT # 51714, DIRECTOR
Name	:	MS. IVY GRIFFIN
Credential	:	MA, LMFT
Telephone Number	:	916-287-3430

Provider Enumeration Date	:	04/17/2017
Last Update Date	:	04/17/2017

Similar Medicare Providers

1013199827 — DR. ALFRED FREEMAN. WALDEN D.D.S.
Practice Location Address:

1614 X ST
SACRAMENTO, CA
95818-2300

Practice Phone: 916-446-1588
Practice Fax: 916-446-1587

1588817985 — MS. IVY CLAIRE GRIFFIN MA, LMFT
Practice Location Address:

1614 X ST , SUITE A
SACRAMENTO, CA
95818-2300

Practice Phone: 916-287-3430
Practice Fax:

1043653579 — PHILIP SETTELS L.AC.
Practice Location Address:

1614 X ST STE B
SACRAMENTO, CA
95818-2300

Practice Phone: 916-287-0980
Practice Fax: 916-604-9974

1336641125 — BENJAMIN FRIDAY
Practice Location Address:

1614 X ST STE A
SACRAMENTO, CA
95818-2300

Practice Phone: 916-287-3430
Practice Fax:

1467083048 — LEIGH TEAGUE JOHNSON
Practice Location Address:

1614 X ST
SACRAMENTO, CA
95818-2300

Practice Phone: 916-287-3305
Practice Fax:

1295675551 — ANTIONETTE RENE SIMMONS
Practice Location Address:

4860 Y ST STE 2300
SACRAMENTO, CA
95817-2307

Practice Phone: 916-734-2833
Practice Fax:

Directions to “IVY GRIFFIN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.