Michael Staples, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC39498 Issued in CA

Practice address

18370 Clayton Ave
Sonoma, CA 95476-4214

Phone

(707) 935-1629

NPI assigned

Jan 4, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Sonoma Psycho-Oncology

  • Community/Behavioral Health Agency
  • San Rafael, CA
  • NPI 1346480381
  NPD (past) Authorized official

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

{
    "created_epoch": "1231027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231027200000",
    "number": "1083850622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18370 CLAYTON AVE",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "954764214",
            "telephone_number": "707-935-1629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18370 CLAYTON AVE",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "954764214",
            "telephone_number": "707-935-1629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAPLES",
        "first_name": "MICHAEL",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-04",
        "last_updated": "2009-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC39498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dane Spence
• Gina Rachelle Spradling
• Robert Sprifke, PT
• Zoe St John
• Stanley D Levine, MD a Professional Corporation
• Stephanie Ann Stickley, M. F. C. C.
• Marina Stiefvater, MS
• Brett W Stine, D.C.
• Eric Stratton
• Sara Elizabeth Stratton, PA-C

• Marriage & Family Therapist in Sonoma, CA
• Providers in Sonoma, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.