Active NPI
Stevie Megan Tecson, AMFT, APCC
- Student in an Organized Health Care Education/Training Program
- Hayward, CA
National Provider Identifier
1013506856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- AMFT122210
- Practice address
- 21455 Birch St Ste 201
Hayward, CA 94541-2165 - Phone
- (510) 268-3770
- NPI assigned
- Jan 15, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | APCC8724 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | AMFT122210 | CA | Primary |
Addresses
Primary practice location
21455 Birch St Ste 201
Hayward, CA 94541-2165
Mailing address
21455 Birch St Ste 201
Hayward, CA 94541-2165
Phone (510) 268-3770
Other practice location 1
2828 Ford St
Oakland, CA 94601-2114
Phone (510) 268-3770
Other practice location 2
456 Laurel Ave
Hayward, CA 94541-3831
Phone (510) 723-3810
Other practice location 3
2214 Eunice St
Berkeley, CA 94709-1419
Phone (757) 897-5933
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AMFT122210 | CA | MD | Student in an Organized Health Care Education/Training Program |
| APCC8724 | CA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Bay Agency for Children | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Hayward, CA
- NPI 1932546496
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610668800000",
"number": "1013506856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21455 BIRCH ST STE 201",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945412165",
"telephone_number": "510-268-3770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21455 BIRCH ST STE 201",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945412165",
"telephone_number": "510-268-3770"
}
],
"practiceLocations": [
{
"address_1": "2828 Ford St",
"address_purpose": "LOCATION",
"city": "Oakland",
"state": "CA",
"postal_code": "946012114",
"country_code": "US",
"telephone_number": "510-268-3770",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "456 Laurel Ave",
"address_purpose": "LOCATION",
"city": "Hayward",
"state": "CA",
"postal_code": "945413831",
"country_code": "US",
"telephone_number": "510-723-3810",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2214 Eunice St",
"address_purpose": "LOCATION",
"city": "Berkeley",
"state": "CA",
"postal_code": "947091419",
"country_code": "US",
"telephone_number": "757-897-5933",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TECSON",
"first_name": "STEVIE MEGAN",
"credential": "AMFT, APCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-15",
"last_updated": "2021-01-15",
"certification_date": "2021-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": "APCC8724",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": "AMFT122210",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hayward, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.