Active NPI
Stephanie Marie O'Neil
- Marriage & Family Therapist
- Oceanside, CA
National Provider Identifier
1689177602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 135870
- Practice address
- 3605 Vista Way Ste
#258
Oceanside, CA 92056-4565 - Phone
- (760) 758-1480
- NPI assigned
- Mar 15, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | CA | ||
| Student in an Organized Health Care Education/Training Program | 390200000X | CA | ||
| Marriage & Family Therapist | 106H00000X | 135870 | CA | Primary |
Addresses
Primary practice location
3605 Vista Way Ste
#258
Oceanside, CA 92056-4565
Mailing address
3605 Vista Way Ste
#258
Oceanside, CA 92056-4565
Phone (760) 758-1480
Other practice location 1
1426 Fillmore St Ste 216
San Francisco, CA 94115-4164
Phone (650) 877-8642
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 135870 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Young Men'S Christian Association of San Francisco | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- San Francisco, CA
- NPI 1366512493
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684108800000",
"number": "1689177602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3605 VISTA WAY STE",
"address_2": "#258",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920564565",
"telephone_number": "760-758-1480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3605 VISTA WAY STE",
"address_2": "#258",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920564565",
"telephone_number": "760-758-1480"
}
],
"practiceLocations": [
{
"address_1": "1426 Fillmore St Ste 216",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941154164",
"country_code": "US",
"telephone_number": "650-877-8642",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "O'NEIL",
"first_name": "STEPHANIE",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-15",
"last_updated": "2023-05-15",
"certification_date": "2023-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "135870",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oceanside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.