Active NPI
Stephani Bryson
- Marriage & Family Therapist
- San Diego, CA
National Provider Identifier
1801059696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 50026
- Practice address
- 5555 Reservoir Dr
San Diego, CA 92120-5134 - Phone
- (949) 386-4082
- NPI assigned
- Jul 2, 2008
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 51812 | CA | |
| Marriage & Family Therapist | 106H00000X | 50026 | CA | Primary |
Addresses
Primary practice location
5555 Reservoir Dr
San Diego, CA 92120-5134
Mailing address
4150 Mission Tree Way
Oceanside, CA 92057-6472
Phone (949) 386-4082
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2013
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
5820 Oberlin Dr
Suite 112
San Diego, CA 92121-3742
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51812 | CA | MD | Marriage & Family Therapist |
| 50026 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691452800000",
"number": "1801059696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4150 MISSION TREE WAY",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920576472",
"telephone_number": "949-386-4082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5555 RESERVOIR DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921205134",
"telephone_number": "949-386-4082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRYSON",
"first_name": "STEPHANI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-02",
"last_updated": "2023-08-08",
"certification_date": "2023-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": "51812",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "50026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.