Individual provider Active NPI

Stephanie Marie Davino, M.A., AMFT

  • Marriage & Family Therapist
  • Beverly Hills, CA
National Provider Identifier
1902556509
Registry record updated Mar 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
131901 Issued in CA
Practice address
9777 Wilshire Blvd Ste 1007
Beverly Hills, CA 90212-1901
Phone
(424) 354-9275
NPI assigned
Mar 25, 2022
Last updated
Mar 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 131901 CA Primary

Addresses

Primary practice location

9777 Wilshire Blvd Ste 1007
Beverly Hills, CA 90212-1901

Mailing address

PO Box 480072
Los Angeles, CA 90048-1072

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
131901CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1648166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648166400000",
    "number": "1902556509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 480072",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900481072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9777 WILSHIRE BLVD STE 1007",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902121901",
            "telephone_number": "424-354-9275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVINO",
        "first_name": "STEPHANIE",
        "middle_name": "MARIE",
        "credential": "M.A., AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-25",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "131901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; 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.