Active NPI
Elaine Stover
- Marriage & Family Therapist
- Northridge, CA
National Provider Identifier
1861976193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 36035
- Practice address
- 19610 Romar St
Northridge, CA 91324-1031 - Phone
- (619) 300-7497
- NPI assigned
- Sep 22, 2018
- 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 | 36035 | CA | Primary |
Addresses
Primary practice location
19610 Romar St
Northridge, CA 91324-1031
Mailing address
19610 Romar St
Northridge, CA 91324-1031
Phone (619) 300-7497
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 |
|---|---|---|---|
| 36035 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537574400000",
"number": "1861976193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19610 ROMAR ST",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913241031",
"telephone_number": "619-300-7497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19610 ROMAR ST",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913241031",
"telephone_number": "619-300-7497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOVER",
"first_name": "ELAINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-22",
"last_updated": "2018-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "36035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northridge, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.