Individual provider Active NPI

Cynthia Lee Stanley, CYNTHIA STANLEY MFT

  • Marriage & Family Therapist
  • Corte Madera, CA
National Provider Identifier
1689978488
Registry record updated Jan 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT29830 Issued in CA
Practice address
100 Tamal PLZ
#108
Corte Madera, CA 94925-1125
Phone
(415) 924-1670
Fax
(415) 925-8644
NPI assigned
Jan 7, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2011

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 MFT29830 CA Primary

Addresses

Primary practice location

100 Tamal PLZ
#108
Corte Madera, CA 94925-1125

Mailing address

100 Tamal PLZ Ste 108
Corte Madera, CA 94925-1165
Phone (415) 924-1679

Other names 1

  • Cynthia Lee Stanley Professional name

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

LicenseStateTypeSpecialty
MFT29830CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1294358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294358400000",
    "number": "1689978488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 TAMAL PLZ STE 108",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251165",
            "telephone_number": "415-924-1679",
            "fax_number": "415-925-8644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 TAMAL PLZ",
            "address_2": "#108",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251125",
            "telephone_number": "415-924-1670",
            "fax_number": "415-925-8644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "CYNTHIA",
        "middle_name": "LEE",
        "credential": "CYNTHIA STANLEY MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-07",
        "last_updated": "2011-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT29830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "STANLEY",
            "middle_name": "LEE",
            "credential": "CYNTHIA STANLEY MFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Corte Madera, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2011; 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.