Individual provider Active NPI

Cathy Stanley Brody, M.F.T.

  • Marriage & Family Therapist
  • Atascadero, CA
National Provider Identifier
1073741476
Registry record updated Jun 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC29464 Issued in CA
Practice address
5805 Capistrano Ave Ste a
Atascadero, CA 93422-7218
Phone
(805) 461-3987
Fax
(880) 546-1412
NPI assigned
Jun 24, 2009
Last updated
Jun 24, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC29464 CA Primary

Addresses

Primary practice location

5805 Capistrano Ave Ste a
Atascadero, CA 93422-7218

Mailing address

5805 Capistrano Ave Ste a
Atascadero, CA 93422-7218
Phone (805) 461-3987

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 3, 2024 through Jan 3, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
29464CAMDClinical Social Worker
MFC29464CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Steve Brody PHD Inc Clinical Psychologist PastSince Sep 13, 2010 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245801600000",
    "number": "1073741476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5805 CAPISTRANO AVE STE A",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934227218",
            "telephone_number": "805-461-3987",
            "fax_number": "805-461-4124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5805 CAPISTRANO AVE STE A",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934227218",
            "telephone_number": "805-461-3987",
            "fax_number": "880-546-1412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODY",
        "first_name": "CATHY",
        "middle_name": "STANLEY",
        "name_prefix": "Ms.",
        "credential": "M.F.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-24",
        "last_updated": "2009-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC29464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atascadero, CA

Sources for this page

Verify at the official NPI Registry.