Organization Active NPI

Samaritan Family Wellness

  • Marriage & Family Therapist
  • Glendale, WI
National Provider Identifier
1629219142
Registry record updated Mar 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
783-124 Issued in WI
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

Updated by the provider on Mar 12, 2009

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)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.