Active NPI
Stacy Downs Colaizzo, MA
- Marriage & Family Therapist
- Torrance, CA
National Provider Identifier
1083141428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC97281
- Practice address
- 21515 Hawthorne Blvd Ste 200
Torrance, CA 90503-6512 - Phone
- (949) 478-2292
- Fax
- (949) 478-2292
- NPI assigned
- May 16, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC97281 | CA | Primary |
Addresses
Primary practice location
21515 Hawthorne Blvd Ste 200
Torrance, CA 90503-6512
Mailing address
28081 Marguerite Pkwy # 2543
Mission Viejo, CA 92690-1800
Phone (949) 478-2292
Other practice location 1
9334 Residencia
Newport Beach, CA 92660-9067
Phone (770) 335-7255
Other practice location 2
4030 Palos Verdes Dr N Ste 106
Rolling Hills Estates, CA 90274-2560
Phone (310) 946-7660
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 578368 | Other | MHN |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC97281 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1083141428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28081 MARGUERITE PKWY # 2543",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926901800",
"telephone_number": "949-478-2292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21515 HAWTHORNE BLVD STE 200",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905036512",
"telephone_number": "949-478-2292",
"fax_number": "949-478-2292"
}
],
"practiceLocations": [
{
"address_1": "9334 Residencia",
"address_purpose": "LOCATION",
"city": "Newport Beach",
"state": "CA",
"postal_code": "926609067",
"country_code": "US",
"telephone_number": "770-335-7255",
"fax_number": "770-335-7255",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4030 Palos Verdes Dr N Ste 106",
"address_purpose": "LOCATION",
"city": "Rolling Hills Estates",
"state": "CA",
"postal_code": "902742560",
"country_code": "US",
"telephone_number": "310-946-7660",
"fax_number": "844-805-0886",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLAIZZO",
"first_name": "STACY",
"middle_name": "DOWNS",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-16",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC97281",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "578368",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.