Active NPI
Stephanie Michelle Chase, MFT
- Marriage & Family Therapist
- Campbell, CA
National Provider Identifier
1811010978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 100128
- Practice address
- 441 N Central Ave Ste 6
Campbell, CA 95008-1428 - Phone
- (408) 508-4892
- NPI assigned
- Apr 6, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 100128 | CA | Primary |
Addresses
Primary practice location
441 N Central Ave Ste 6
Campbell, CA 95008-1428
Mailing address
PO Box 1333
Campbell, CA 95009-1333
Phone (408) 508-4892
Other names 1
- Stephanie Michelle Tornincasa
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Stephanie@campbellteenfamilytherapy.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 15, 2024 through Jan 15, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100128 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574380800000",
"number": "1811010978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1333",
"city": "CAMPBELL",
"state": "CA",
"postal_code": "950091333",
"telephone_number": "408-508-4892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "441 N CENTRAL AVE STE 6",
"city": "CAMPBELL",
"state": "CA",
"postal_code": "950081428",
"telephone_number": "408-508-4892"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHASE",
"first_name": "STEPHANIE",
"middle_name": "MICHELLE",
"credential": "MFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-06",
"last_updated": "2019-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "100128",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Stephanie@campbellteenfamilytherapy.com",
"affiliation": "N",
"endpointDescription": "Secure Hushmail",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "441 N Central Ave Ste 6",
"city": "Campbell",
"state": "CA",
"country_code": "US",
"postal_code": "950081428",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "STEPHANIE",
"last_name": "TORNINCASA",
"middle_name": "MICHELLE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Campbell, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.