Active NPI
Betty Marie Stevens, M.F.T.
- Marriage & Family Therapist
- Upland, CA
National Provider Identifier
1760698666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC35215
- Practice address
- 225 N Euclid Ave
Upland, CA 91786-6038 - Phone
- (909) 982-8804
- NPI assigned
- May 15, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC35215 | CA | Primary |
| Registered Nurse | 163W00000X | RN319410 | CA |
Addresses
Primary practice location
225 N Euclid Ave
Upland, CA 91786-6038
Mailing address
PO Box 9387
Alta Loma, CA 91701-8387
Phone (909) 982-8804
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 |
|---|---|---|---|
| MFC35215 | CA | MD | Marriage & Family Therapist |
| RN319410 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368403200000",
"number": "1760698666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9387",
"city": "ALTA LOMA",
"state": "CA",
"postal_code": "917018387",
"telephone_number": "909-982-8804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 N EUCLID AVE",
"city": "UPLAND",
"state": "CA",
"postal_code": "917866038",
"telephone_number": "909-982-8804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "BETTY",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "M.F.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-15",
"last_updated": "2013-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC35215",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "RN319410",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Upland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.