Jean Marie Stewart, MA PSYCHOLOGY C-4647

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

30290 Rancho Viejo Rd Ste 104
San Juan Capistrano, CA 92675-1565

Phone

(949) 933-3556

NPI assigned

Nov 2, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1053499236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26511 CANCION DR",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915419",
            "telephone_number": "949-246-5499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30290 RANCHO VIEJO RD STE 104",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751565",
            "telephone_number": "949-933-3556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "JEAN",
        "middle_name": "MARIE",
        "credential": "MA PSYCHOLOGY C-4647",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa Ann Steiner, MFTI
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• Ruta Sternbergs
• Steven P. Theodosis Dental Corporation
• Jillian Stewart, DPT
• Melody Stone, LMFT
• Ruth Elaine Strickland, RN
• David Briant Stringham, CATC-I
• Charles Martin Strom, MD

• Addiction (Substance Use Disorder) Counselor in San Juan Capistrano, CA
• Providers in San Juan Capistrano, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.