Active NPI
Stephanie Shigeko Fugita, MFT
- Marriage & Family Therapist
- Santa Clara, CA
National Provider Identifier
1871019174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT39282
- Practice address
- 2797 Park Ave Ste 206
Santa Clara, CA 95050-6064 - Phone
- (415) 758-0725
- NPI assigned
- Aug 17, 2017
- 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 | LMFT39282 | CA | Primary |
Addresses
Primary practice location
2797 Park Ave Ste 206
Santa Clara, CA 95050-6064
Mailing address
4715 Holston River CT
San Jose, CA 95136-2710
Phone (408) 375-0825
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 |
|---|---|---|---|
| LMFT39282 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502928000000",
"number": "1871019174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4715 HOLSTON RIVER CT",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951362710",
"telephone_number": "408-375-0825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2797 PARK AVE STE 206",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "950506064",
"telephone_number": "415-758-0725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUGITA",
"first_name": "STEPHANIE",
"middle_name": "SHIGEKO",
"name_prefix": "Ms.",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-17",
"last_updated": "2017-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT39282",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Clara, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.