Stacy Simone, M.A.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

48661 Issued in CA

Practice address

600 N Alameda St East
Compton, CA 90221

Phone

(323) 242-5000

NPI assigned

May 24, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Stacy Ana Russak Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538611200000",
    "number": "1447461397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N ALAMEDA ST EAST",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902212605",
            "telephone_number": "323-242-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N ALAMEDA ST EAST",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "90221",
            "telephone_number": "323-242-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9624 Compton Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900022333",
            "country_code": "US",
            "telephone_number": "323-242-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMONE",
        "first_name": "STACY",
        "name_prefix": "Ms.",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2018-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "48661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACY",
            "last_name": "RUSSAK",
            "middle_name": "ANA",
            "prefix": "MRS.",
            "credential": "M.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shields for Families, Inc.
• Summer Rebecca Shields
• Sandra Shim
• Maieka S Short
• Michael Blair Silverman, LCSW
• Verlene Sims
• Luis A. Siordia
• Stephanie Eileen Siordia
• Kamilah Siqueiros
• Marjorie Ann Skinner-Riley, M.S. HCA, PA-C

• Marriage & Family Therapist in Compton, CA
• Providers in Compton, 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 Oct 4, 2018; 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.