Shirley Ann Stutson, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC23400 Issued in CA

Practice address

16044 Bear Valley Rd Ste 6
5571 Trinity Rd. Phelan, Ca. 92371
Victorville, CA 92395-8981

Phone

(760) 885-3059

NPI assigned

Jul 1, 2006

Last updated

Apr 8, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207612800000",
    "number": "1437188638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16044 OUTER BEAR VALLEY #6",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "92395",
            "telephone_number": "760-885-3059",
            "fax_number": "760-868-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16044 BEAR VALLEY RD STE 6",
            "address_2": "5571 TRINITY RD. PHELAN, CA. 92371",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923958981",
            "telephone_number": "760-885-3059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUTSON",
        "first_name": "SHIRLEY",
        "middle_name": "ANN",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-01",
        "last_updated": "2008-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC23400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Victorville, CA
• Providers in Victorville, 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 Apr 8, 2008; 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.