Active NPI
Stephen William Douthit, MS, AMFT
- Marriage & Family Therapist
- Sonoma, CA
National Provider Identifier
1639812365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 131329
- Practice address
- 814 Broadway
Sonoma, CA 95476 - Phone
- (707) 509-8031
- NPI assigned
- Apr 20, 2022
- Last updated
- Apr 20, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | CA | ||
| Cognitive & Behavioral Psychologist | 103TB0200X | CA | ||
| Counseling Psychologist | 103TC1900X | CA | ||
| Group Psychotherapy Psychologist | 103TP2701X | CA | ||
| School Psychologist | 103TS0200X | CA | ||
| Marriage & Family Therapist | 106H00000X | 131329 | CA | Primary |
Addresses
Primary practice location
814 Broadway
Sonoma, CA 95476
Mailing address
322 Linden Ave # 43
South San Francisco, CA 94080-3715
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | sdouthit@sonomavalleyfamilytherapy.com | Health Information Exchange (HIE) |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 131329 | CA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sonoma Valley Family Therapy PC | Current | Accepting new patients | |
| Sonoma Valley Family Therapy PC | Current | Accepting new patients |
Locations
814 Broadway
Sonoma, CA 95476
Phone (707) 509-8031
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Sonoma, CA
- NPI 1205426905
-
- Mental Health Counselor
- Sonoma, CA
- NPI 1881312205
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650412800000",
"number": "1639812365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "322 LINDEN AVE # 43",
"city": "SOUTH SAN FRANCISCO",
"state": "CA",
"postal_code": "940803715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "814 BROADWAY",
"city": "SONOMA",
"state": "CA",
"postal_code": "95476",
"telephone_number": "707-509-8031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOUTHIT",
"first_name": "STEPHEN",
"middle_name": "WILLIAM",
"credential": "MS, AMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-04-20",
"last_updated": "2022-04-20",
"certification_date": "2022-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "131329",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "sdouthit@sonomavalleyfamilytherapy.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "814 Broadway",
"city": "Sonoma",
"state": "CA",
"country_code": "US",
"postal_code": "95476",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Sonoma, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.