Sultanna McCormick-Stewart

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

150241 Issued in CA

Practice address

480 Chadbourne Rd
Fairfield, CA 94534-9639

Phone

(336) 991-7511

NPI assigned

Jun 14, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Family Preservation Services of Florida, LLC

  • Community/Behavioral Health Agency
  • Metairie, LA
  • NPI 1063528560
  NPD (past)

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

{
    "created_epoch": "1465862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1235589979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 CHADBOURNE RD",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945349639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 CHADBOURNE RD",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945349639",
            "telephone_number": "336-991-7511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK-STEWART",
        "first_name": "SULTANNA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-14",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "150241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda McBride, FNP
• Rita McCampbell, IMF#73162
• Laurel H McCarthy, LCSW
• Christina Marie McCauley, AGACNP-BC
• Erica McClanahan
• Betsy McCormick
• Desiree Nadine McCoy, ADJUNCT STAFF
• Janelle Mo'Nea McCoy, LCSW
• Layne McCrary, COTA/L
• Siena Marie McDermott

• Marriage & Family Therapist in Fairfield, CA
• Providers in Fairfield, 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 Oct 4, 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.