Active NPI
Shelby Claire Stone, LMFT
- Marriage & Family Therapist
- Santa Monica, CA
National Provider Identifier
1770004103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 112223
- Practice address
- 1452 26TH St Ste 203
Santa Monica, CA 90404-3085 - Phone
- (424) 645-7754
- NPI assigned
- Jul 7, 2017
- 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 | 112223 | CA | Primary |
| Marriage & Family Therapist | 106H00000X | IMF99980 | CA |
Addresses
Primary practice location
1452 26TH St Ste 203
Santa Monica, CA 90404-3085
Mailing address
1452 26TH St Ste 203
Santa Monica, CA 90404-3085
Phone (424) 645-7754
Other practice location 1
3787 S Vermont Ave
Los Angeles, CA 90007-4203
Phone (323) 766-2345
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 |
|---|---|---|---|
| IMF99980 | CA | MD | Marriage & Family Therapist |
| 112223 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552521600000",
"number": "1770004103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1452 26TH ST STE 203",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904043085",
"telephone_number": "424-645-7754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1452 26TH ST STE 203",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904043085",
"telephone_number": "424-645-7754"
}
],
"practiceLocations": [
{
"address_1": "3787 S Vermont Ave",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900074203",
"country_code": "US",
"telephone_number": "323-766-2345",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STONE",
"first_name": "SHELBY",
"middle_name": "CLAIRE",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-07",
"last_updated": "2019-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "112223",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "IMF99980",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.