Stefanie Santiago, LMFT, LCADC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

37FI00193500 Issued in NJ

Practice address

823 Main Ave
Passaic, NJ 07055-8401

Phone

(973) 928-4260

NPI assigned

Jun 28, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Logical Relations Therapy LLC

  • Clinical Social Worker
  • Montclair, NJ
  • NPI 1215523469

  Marriage & Family Therapist

  NPD Authorized official
• Doors Into the Future, Inc

  • Adult Mental Health Clinic/Center
  • Passaic, NJ
  • NPI 1265958557
  NPD
• Doors Into the Future, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Passaic, NJ
  • NPI 1336668037
  NPD

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

{
    "created_epoch": "1593302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593302400000",
    "number": "1205453057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 VALLEY RD APT 2",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422209",
            "telephone_number": "973-281-7164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 MAIN AVE",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070558401",
            "telephone_number": "973-928-4260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "STEFANIE",
        "credential": "LMFT, LCADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-28",
        "last_updated": "2020-06-28",
        "certification_date": "2020-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00318100",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NJ",
            "license": "37FI00193500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stefaniesantiago@icloud.com",
            "affiliation": "N",
            "endpointDescription": "professional email",
            "address_1": "80 Valley Rd Apt 2",
            "city": "Montclair",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070422209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Salvatore M. Gagliano M.D.P.a.
• San Juan Heart, LLC
• Kimberly Sanchez-Aguayo, PA-C
• Sancor Medical Enterprises, LLC
• Ada Kueilan Sang-Mata, MSW, LSW
• Santillana Family Dentistry L.L.C.
• Rosalina Santos, MA, LPC, ACS
• Ruth D Saperstein, LCSW
• Louis J Sardelli, DDS
• Winston Saulon, MD

• All providers in Passaic, NJ
• Marriage & Family Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2020; 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.