Active NPI
Samantha Zylstra
- Marriage & Family Therapist
- Naperville, IL
National Provider Identifier
1679928253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 166.000962
- Legal business name
- SAMANTHA ZYLSTRA
- Practice address
- 50 S Main St
Naperville, IL 60540-5484 - Phone
- (415) 585-3132
- NPI assigned
- May 2, 2016
- Last updated
- May 2, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Samantha Zylstra, MS
- Title
- Owner
- Phone
- (415) 585-3132
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 166.000962 | IL | Primary |
| Marriage & Family Therapist | 106H00000X | 44677 | CA |
Addresses
Primary practice location
50 S Main St
Naperville, IL 60540-5484
Mailing address
50 S Main St
Naperville, IL 60540-5484
Phone (415) 585-3132
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Marriage & Family Therapist
- Naperville, IL
- NPI 1619121571
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462147200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1462147200000",
"number": "1679928253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 S MAIN ST",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605405484",
"telephone_number": "415-585-3132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 S MAIN ST",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605405484",
"telephone_number": "415-585-3132"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAMANTHA ZYLSTRA",
"organizational_subpart": "NO",
"enumeration_date": "2016-05-02",
"last_updated": "2016-05-02",
"status": "A",
"authorized_official_last_name": "ZYLSTRA",
"authorized_official_first_name": "SAMANTHA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "415-585-3132",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MS"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "IL",
"license": "166.000962",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "44677",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.