Sandra Laneal Stultz, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

43047 Issued in CA

Practice address

401 Grand Ave
Suite 380
Oakland, CA 94610-5054

Phone

(510) 395-4814

NPI assigned

Nov 13, 2006

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

• Ms. Sandra Laneal Arnold Nelson Former name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Aryana Marriage and Family Therapy Wellness Center, Professional Corporation

  • Marriage & Family Therapist
  • Stockton, CA
  • NPI 1326831488
  NPD Authorized official
• Sankofa Holistic Counseling Services, a Professional Clinical Social W

  • Clinical Social Worker
  • Oakland, CA
  • NPI 1740602549
  NPD (past)

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426464000000",
    "number": "1467523936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3230",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945780230",
            "telephone_number": "510-395-4814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 GRAND AVE",
            "address_2": "SUITE 380",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946105054",
            "telephone_number": "510-395-4814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STULTZ",
        "first_name": "SANDRA",
        "middle_name": "LANEAL",
        "name_prefix": "Mrs.",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2015-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "43047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "ARNOLD NELSON",
            "middle_name": "LANEAL",
            "prefix": "MS.",
            "credential": "MFTI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mila Kaye Stublefield, PSYD
• Eric S Stuffmann, M.D.
• Eric Stullman, LMFT
• Michael Callen Stults
• Melissa Erin Stultz, LCSW
• Barbara A. Stumpf, MD
• Kirk E. Stumpf, MD
• Cheryl Latarsha Sturdivant
• Leticia Galyean Sturtevant, LCSW
• Wenda Stuward

• Marriage & Family Therapist in Oakland, CA
• Providers in Oakland, 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 Mar 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.