Active NPI
Stevyn Elnora Bass, MFT
- Marriage & Family Therapist
- Newman, CA
National Provider Identifier
1326344896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC38007
- Practice address
- 317 Cinnamon Teal Way
Newman, CA 95360-9543 - Phone
- (408) 930-8362
- Fax
- (209) 862-9972
- NPI assigned
- Feb 1, 2011
- 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 | MFC38007 | CA | Primary |
Addresses
Primary practice location
317 Cinnamon Teal Way
Newman, CA 95360-9543
Mailing address
317 Cinnamon Teal Way
Newman, CA 95360-9543
Phone (408) 930-8362
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC38007 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296518400000",
"number": "1326344896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "317 CINNAMON TEAL WAY",
"city": "NEWMAN",
"state": "CA",
"postal_code": "953609543",
"telephone_number": "408-930-8362",
"fax_number": "209-862-9972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "317 CINNAMON TEAL WAY",
"city": "NEWMAN",
"state": "CA",
"postal_code": "953609543",
"telephone_number": "408-930-8362",
"fax_number": "209-862-9972"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASS",
"first_name": "STEVYN",
"middle_name": "ELNORA",
"name_prefix": "Ms.",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-02-01",
"last_updated": "2011-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC38007",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newman, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.