Misty Suzette Steffen, CNM, FNP, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

19470 Issued in CA

Practice address

2542 S Bascom Ave Ste 100
Campbell, CA 95008-5541

Phone

(800) 913-2615

NPI assigned

Sep 23, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other names 1

• Misty Suzette Harsh Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife, Nurse Practitioner

State licenses

Practice roles

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.

• LGTC Group

  • Marriage & Family Therapist
  • San Jose, CA
  • NPI 1881482941

  Psychiatric/Mental Health

  NPD (past)
• Los Gatos Therapy Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Jose, CA
  • NPI 1518600972
  NPD (past)
• WK Medical Group

  • Psychiatry Physician
  • San Jose, CA
  • NPI 1588083992

  Psychiatric/Mental Health

  NPD (past)

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1639329063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "981 KATHERINE CT",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951261622",
            "telephone_number": "831-295-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2542 S BASCOM AVE STE 100",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950085541",
            "telephone_number": "800-913-2615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEFFEN",
        "first_name": "MISTY",
        "middle_name": "SUZETTE",
        "name_prefix": "Ms.",
        "credential": "CNM, FNP, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-23",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WX0002X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Obstetric, High-Risk",
            "state": "CA",
            "license": "507188",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "19470",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CA",
            "license": "NMW1058",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "19470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MISTY",
            "last_name": "HARSH",
            "middle_name": "SUZETTE",
            "credential": "RN, FNP, CNM, PMHNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Star Family Senior Care Inc
• Joanna D. Stark, MD
• Nicholas Stavrides, CADC
• Ayla Marie Steed
• Sashko Stefanoski
• Josephine Leah Stein, MSW
• Michael David Stein, M.D.
• Carmen Fiona Steinmeier
• Jasmyne A. M. Stelly
• David J Stevens

• Psychiatric/Mental Health Nurse Practitioner in Campbell, CA
• Providers in Campbell, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; 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.