Individual provider Active NPI

Sarah Mae Staudy

  • Marriage & Family Therapist
  • San Andreas, CA
National Provider Identifier
1700486123
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
165135 Issued in CA
Practice address
704 Mountain Ranch Rd Ste 105
San Andreas, CA 95249-8902
Phone
(209) 754-6525
NPI assigned
Oct 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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 165135 CA Primary

Addresses

Primary practice location

704 Mountain Ranch Rd Ste 105
San Andreas, CA 95249-8902

Mailing address

704 Mountain Ranch Rd Ste 105
San Andreas, CA 95249-8902
Phone (209) 754-6525

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
AMFT144409CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1603670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1700486123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 MOUNTAIN RANCH RD STE 105",
            "city": "SAN ANDREAS",
            "state": "CA",
            "postal_code": "952498902",
            "telephone_number": "209-754-6525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 MOUNTAIN RANCH RD STE 105",
            "city": "SAN ANDREAS",
            "state": "CA",
            "postal_code": "952498902",
            "telephone_number": "209-754-6525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAUDY",
        "first_name": "SARAH",
        "middle_name": "MAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-26",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "165135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Andreas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; 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.