Individual provider Active NPI

Chaela D Stewart, M.S. MFT

  • Marriage & Family Therapist
  • Windsor, CA
National Provider Identifier
1417085564
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
98110 Issued in CA
Practice address
9240 Old Redwood Hwy Ste 200-246
Windsor, CA 95492-9348
Phone
(707) 779-9345
NPI assigned
Mar 1, 2007
Last updated
Jun 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 98110 CA Primary

Addresses

Primary practice location

9240 Old Redwood Hwy Ste 200-246
Windsor, CA 95492-9348

Mailing address

9240 Old Redwood Hwy Ste 200-246
Windsor, CA 95492-9348
Phone (707) 779-9345

Other names 1

  • Chaela D Eskelson Former name

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 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1417085564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9240 OLD REDWOOD HWY STE 200-246",
            "city": "WINDSOR",
            "state": "CA",
            "postal_code": "954929348",
            "telephone_number": "707-779-9345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9240 OLD REDWOOD HWY STE 200-246",
            "city": "WINDSOR",
            "state": "CA",
            "postal_code": "954929348",
            "telephone_number": "707-779-9345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "CHAELA",
        "middle_name": "D",
        "credential": "M.S. MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "98110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHAELA",
            "last_name": "ESKELSON",
            "middle_name": "D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Windsor, CA

Sources for this page

Verify at the official NPI Registry.