Patrick Stewart, BS, MA, MFTI

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

94392 Issued in CA

Practice address

Fathers Heart Ranch
71175 Aurora Rd.
Desert Hot Springs, CA 92241

Phone

(760) 251-8858

NPI assigned

Oct 17, 2016

Last updated

Sep 6, 2019By the provider in NPPES

Sex

Male

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

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor of Science, Master of Arts

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kathryn Gonzales

  • Social Worker
  • Thousand Oaks, CA
  • NPI 1497647309
  NPD
• Father's Heart- a Ranch for Children Inc

  • Community/Behavioral Health Agency
  • Desert Hot Springs, CA
  • NPI 1871004341
  NPD (past)

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567728000000",
    "number": "1275084147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56949 NAVAJO TRL",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922844166",
            "telephone_number": "760-450-6149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FATHERS HEART RANCH",
            "address_2": "71175 AURORA RD.",
            "city": "DESERT HOT SPRINGS",
            "state": "CA",
            "postal_code": "92241",
            "telephone_number": "760-251-8858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "PATRICK",
        "name_prefix": "Mr.",
        "credential": "BS, MA, MFTI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-17",
        "last_updated": "2019-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "94392",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pstewart@fathersheartranch.net",
            "affiliation": "N",
            "endpointDescription": "secured email CISCO",
            "address_1": "Fathers Heart Ranch",
            "address_2": "71175 Aurora Rd.",
            "city": "Desert Hot Springs",
            "state": "CA",
            "country_code": "US",
            "postal_code": "92241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Paula C Sniffin
• Ki Jung Song, L.A.C.
• Soroptimist House of Hope, Inc
• Stacia Elisha Stagg
• Starke Institute LLC (Starke Institute)
• Celia L Stoltz, PHD, PSYD
• Strides LLC
• Meghan Sullivan
• Rebecca Tartaglini, PPS
• Petra Taylor

• Marriage & Family Therapist in Desert Hot Springs, CA
• Providers in Desert Hot Springs, 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 Sep 6, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.