Jody Ann Stayer, MA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

IMF 55885 Issued in CA

Practice address

4401 Santa Anita Ave
El Monte, CA 91731-1611

Phone

(626) 798-6793

Fax

(626) 797-7722

NPI assigned

Jul 11, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Miss Jody Ann Rediger Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Five Acres- the Boys' and Girls' Aid Society of Los Angeles County

  • Community/Behavioral Health Agency
  • Altadena, CA
  • NPI 1518446624
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262822400000",
    "number": "1861691834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 E KATELLA AVE",
            "address_2": "UNIT 3150",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928056680",
            "telephone_number": "714-613-3288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 SANTA ANITA AVE",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917311611",
            "telephone_number": "626-798-6793",
            "fax_number": "626-797-7722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAYER",
        "first_name": "JODY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-11",
        "last_updated": "2010-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF 55885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JODY",
            "last_name": "REDIGER",
            "middle_name": "ANN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alison Nicole Spiller
• Norman E Sprunck, BS
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• Star View Behavioral Health Inc.
• Starlite Health LLC
• Shannon Steib
• Tufia Elaine Steidle, PSY.D.
• Sterling Telegraph Inc
• Steven L Johnson an Optometric Corporation
• Karen Eliana Straehley, PA-C

• Marriage & Family Therapist in El Monte, CA
• Providers in El Monte, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.