Individual provider Active NPI

Stephanie Lee Staie, M.A., M.F.T.

  • Marriage & Family Therapist
  • Simi Valley, CA
National Provider Identifier
1659482263
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC30963 Issued in CA
Practice address
2925 Sycamore Dr Ste 105
Simi Valley, CA 93065-1208
Phone
(805) 231-6176
Fax
(805) 955-0569
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC30963 CA Primary

Addresses

Primary practice location

2925 Sycamore Dr Ste 105
Simi Valley, CA 93065-1208

Mailing address

2925 Sycamore Dr Ste 105
Simi Valley, CA 93065-1208
Phone (805) 231-6176

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 Arts

State licenses

LicenseStateTypeSpecialty
MFC30963CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1659482263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 SYCAMORE DR STE 105",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930651208",
            "telephone_number": "805-231-6176",
            "fax_number": "805-955-0569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 SYCAMORE DR STE 105",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930651208",
            "telephone_number": "805-231-6176",
            "fax_number": "805-955-0569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAIE",
        "first_name": "STEPHANIE",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "M.A., M.F.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC30963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.