Active NPI
Stephanie Dugdale, MA, LMFT
- Marriage & Family Therapist
- Salinas, CA
National Provider Identifier
1770519241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1040
- Practice address
- 149 Grove St
Salinas, CA 93901-4147 - Phone
- (831) 998-7376
- NPI assigned
- Jun 24, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 1040 | NC | Primary |
Addresses
Primary practice location
149 Grove St
Salinas, CA 93901-4147
Mailing address
149 Grove St
Salinas, CA 93901-4147
Phone (831) 998-7376
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2239215 | Other | NC | CIGNA |
| 1406G | Other | NC | BCBS |
| 184863 | Other | NC | MEDCOST |
| 7571734 | Other | NC | AETNA |
| 562161 | Other | NC | VALUE OPTIONS |
| 6105052 | Medicaid | NC | |
| 804516000 | Other | NC | MAGELLAN |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1040 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184025600000",
"number": "1770519241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "149 GROVE ST",
"city": "SALINAS",
"state": "CA",
"postal_code": "939014147",
"telephone_number": "831-998-7376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "149 GROVE ST",
"city": "SALINAS",
"state": "CA",
"postal_code": "939014147",
"telephone_number": "831-998-7376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUGDALE",
"first_name": "STEPHANIE",
"credential": "MA, LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-24",
"last_updated": "2007-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NC",
"license": "1040",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2239215",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1406G",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "184863",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7571734",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "562161",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6105052",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "804516000",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Salinas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.