Active NPI
Sylvester T. Staten
- Marriage & Family Therapist
- Tamarac, FL
National Provider Identifier
1902229974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1400011427
- Practice address
- 3890 W Commercial Blvd
Suite 214
Tamarac, FL 33309-3319 - Phone
- (754) 779-7429
- Fax
- (754) 265-7055
- NPI assigned
- Jan 28, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | 101YP1600X | FL | |
| Marriage & Family Therapist | 106H00000X | 1400011427 | FL | Primary |
Addresses
Primary practice location
3890 W Commercial Blvd
Suite 214
Tamarac, FL 33309-3319
Mailing address
3890 W Commercial Blvd
Suite 214
Tamarac, FL 33309-3319
Phone (754) 779-7429
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 |
|---|---|---|---|
| 101YP1600X | FL | MD | Mental Health Counselor |
| 1400011427 | FL | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481241600000",
"number": "1902229974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3890 W COMMERCIAL BLVD",
"address_2": "SUITE 214",
"city": "TAMARAC",
"state": "FL",
"postal_code": "333093319",
"telephone_number": "754-779-7429",
"fax_number": "754-265-7055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3890 W COMMERCIAL BLVD",
"address_2": "SUITE 214",
"city": "TAMARAC",
"state": "FL",
"postal_code": "333093319",
"telephone_number": "754-779-7429",
"fax_number": "754-265-7055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STATEN",
"first_name": "SYLVESTER",
"middle_name": "T.",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-01-28",
"last_updated": "2016-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": "FL",
"license": "101YP1600X",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": "1400011427",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tamarac, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.