Active NPI
Todd P Stockwell, AMFT161643
- Marriage & Family Therapist
- Riverside, CA
National Provider Identifier
1619736659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- AMFT161643
- Practice address
- 2085 Rustin Ave
Riverside, CA 92507-2498 - Phone
- (760) 863-8258
- NPI assigned
- Mar 13, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 | AMFT161643 | CA | Primary |
Addresses
Primary practice location
2085 Rustin Ave
Riverside, CA 92507-2498
Mailing address
40891 Sonata CT
Palm Desert, CA 92260-0349
Phone (762) 835-8540
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AMFT117898 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782432000000",
"number": "1619736659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40891 SONATA CT",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922600349",
"telephone_number": "762-835-8540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2085 RUSTIN AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925072498",
"telephone_number": "760-863-8258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOCKWELL",
"first_name": "TODD",
"middle_name": "P",
"credential": "AMFT161643",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-03-13",
"last_updated": "2026-06-26",
"certification_date": "2026-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "AMFT161643",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.