Active NPI
Elizabeth Grace Stone, M.A.
- Marriage & Family Therapist
- Palmdale, CA
National Provider Identifier
1376738161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 54115
- Practice address
- 190 Sierra CT
Suite C-8
Palmdale, CA 93550-7607 - Phone
- (661) 266-4783
- Fax
- (661) 266-1210
- NPI assigned
- Sep 13, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 54115 | CA | Primary |
Addresses
Primary practice location
190 Sierra CT
Suite C-8
Palmdale, CA 93550-7607
Mailing address
190 Sierra CT
Suite C-8
Palmdale, CA 93550-7607
Phone (661) 266-4783
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 23, 2024 through Jan 23, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54115 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189641600000",
"number": "1376738161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "190 SIERRA CT",
"address_2": "SUITE C-8",
"city": "PALMDALE",
"state": "CA",
"postal_code": "935507607",
"telephone_number": "661-266-4783",
"fax_number": "661-266-1210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "190 SIERRA CT",
"address_2": "SUITE C-8",
"city": "PALMDALE",
"state": "CA",
"postal_code": "935507607",
"telephone_number": "661-266-4783",
"fax_number": "661-266-1210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STONE",
"first_name": "ELIZABETH",
"middle_name": "GRACE",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-13",
"last_updated": "2007-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "54115",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palmdale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.