Stephen Adair Vernon, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC19830 Issued in CA

Practice address

1320 Solano Ave
Suite 202
Albany, CA 94706-1854

Phone

(510) 528-8814

Fax

(510) 528-8814

NPI assigned

Jul 18, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1679591465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 SOLANO AVE",
            "address_2": "SUITE 202",
            "city": "ALBANY",
            "state": "CA",
            "postal_code": "947061854",
            "telephone_number": "510-528-8814",
            "fax_number": "510-528-8814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 SOLANO AVE",
            "address_2": "SUITE 202",
            "city": "ALBANY",
            "state": "CA",
            "postal_code": "947061854",
            "telephone_number": "510-528-8814",
            "fax_number": "510-528-8814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERNON",
        "first_name": "STEPHEN",
        "middle_name": "ADAIR",
        "name_prefix": "Mr.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC19830",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T0295",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01674804",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelsey C Underwood, PHD, LMFT
• Jan Van Der Zwaag, MFT
• Loraine Y Van Tuyl, PHD
• Michelle Tirella Ventura
• Lisa Clark Verdon, O.D.
• Emily Cristina Viggiano, M.D.
• Laurie Vollen, MD
• Michael D Voyne, D.D.S.
• Sandra Waggener, D.C.
• Ellen Wallace, MD

• Marriage & Family Therapist in Albany, CA
• Providers in Albany, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.