Active NPI
Samaritan Family Wellness
- Marriage & Family Therapist
- Glendale, WI
National Provider Identifier
1629219142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 783-124
- Legal business name
- SAMARITAN FAMILY WELLNESS
- Practice address
- 500 W Silver Spring Dr
Suite K270
Glendale, WI 53217-5051 - Phone
- (414) 964-4357
- Fax
- (414) 964-4327
- NPI assigned
- Mar 12, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Scott Stoner, LMFT
- Title
- President, Executive Director
- Phone
- (414) 964-4357
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 783-124 | WI | Primary |
Addresses
Primary practice location
500 W Silver Spring Dr
Suite K270
Glendale, WI 53217-5051
Mailing address
500 W Silver Spring Dr
Suite K270
Glendale, WI 53217-5051
Phone (414) 964-4357
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Glendale, WI
- NPI 1467694240
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236816000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1236816000000",
"number": "1629219142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 W SILVER SPRING DR",
"address_2": "SUITE K270",
"city": "GLENDALE",
"state": "WI",
"postal_code": "532175051",
"telephone_number": "414-964-4357",
"fax_number": "414-964-4327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W SILVER SPRING DR",
"address_2": "SUITE K270",
"city": "GLENDALE",
"state": "WI",
"postal_code": "532175051",
"telephone_number": "414-964-4357",
"fax_number": "414-964-4327"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAMARITAN FAMILY WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-12",
"last_updated": "2009-03-12",
"status": "A",
"authorized_official_last_name": "STONER",
"authorized_official_first_name": "SCOTT",
"authorized_official_title_or_position": "PRESIDENT, EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "414-964-4357",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "WI",
"license": "783-124",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.