Alexander Han Stickler, MFTI

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

IMF75946 Issued in CA

Practice address

29 6TH St
Richmond, CA 94801-3507

Phone

(323) 428-0206

NPI assigned

Aug 20, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Bay Area Community Resources, Inc

  • Community/Behavioral Health Agency
  • Richmond, CA
  • NPI 1508326190
  NPD (past)

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

{
    "created_epoch": "1376956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480550400000",
    "number": "1922431444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2704 BUENA VISTA WAY",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947082014",
            "telephone_number": "323-428-0206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 6TH ST",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948013507",
            "telephone_number": "323-428-0206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STICKLER",
        "first_name": "ALEXANDER",
        "middle_name": "HAN",
        "credential": "MFTI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-20",
        "last_updated": "2016-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": "IMF75946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cory Stebbins
• Julie L Steiner, MD
• Jon Eric Stenson, PHD
• Susan Elizabeth Stephens Dierauf, MD
• Stewart Dialysis LLC
• Lareese Beatrice Stitts
• Myles Stranzl
• Molly E. Stullman, PH.D.
• Yuliya Stupak, BA
• Tamara Rae Sturgeon, RAS

• Student in an Organized Health Care Education/Training Program in Richmond, CA
• Providers in Richmond, CA by specialty
• Student in an Organized Health Care Education/Training Program in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.

Verify at the official NPI Registry.