Stephanie Manne

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MT4615 Issued in FL

Practice address

10725 NW 19TH St
Coral Springs, FL 33071-4207

Phone

(707) 292-8986

NPI assigned

Jul 13, 2018

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

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

{
    "created_epoch": "1531440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685318400000",
    "number": "1346726288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10725 NW 19TH ST",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330714207",
            "telephone_number": "707-292-8986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10725 NW 19TH ST",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330714207",
            "telephone_number": "707-292-8986"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21545 Centre Pointe Pkwy",
            "address_purpose": "LOCATION",
            "city": "Santa Clarita",
            "state": "CA",
            "postal_code": "913502947",
            "country_code": "US",
            "telephone_number": "661-259-8438 x3027",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23780 Newhall Ave",
            "address_purpose": "LOCATION",
            "city": "Santa Clarita",
            "state": "CA",
            "postal_code": "913213125",
            "country_code": "US",
            "telephone_number": "661-255-6847",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3601 W Commercial Blvd Ste 35",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333093329",
            "country_code": "US",
            "telephone_number": "844-923-3428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANNE",
        "first_name": "STEPHANIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-13",
        "last_updated": "2023-05-29",
        "certification_date": "2023-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "91899",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "121239",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT4615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Freddy Rick Malpartida, M.D.
• Frank Joseph Maluda Jr., RPH
• Maria Antonietta Mandelion, M.S., CCC-SLP
• Sara Ann Manin
• Jacquelyn Mann, PA-C
• Pamela Manning, DNP, AGNP-BC
• Adel S Mansour, MD
• Michelle F Mansueto
• Rivkah Mantel
• Manuel E Brookner D C P a

• Marriage & Family Therapist in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Marriage & Family Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2023; 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.