Stainton Graham Smith, AMFT, APCC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

AMFT1301302 Issued in CA

Practice address

1480 Lincoln Ave
San Rafael, CA 94901-2084

Phone

(415) 456-7724

NPI assigned

Jan 23, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: graham.coffey@childtherapyinstitute.com

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.

• The Child Therapy Institute of Marin

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • El Cerrito, CA
  • NPI 1134641731
  NPD (past)

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1962117168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 3RD AVE APT 6",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941222763",
            "telephone_number": "480-747-2532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 LINCOLN AVE",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949012084",
            "telephone_number": "415-456-7724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "STAINTON",
        "middle_name": "GRAHAM",
        "credential": "AMFT, APCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT1301302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Graham.coffey@childtherapyinstitute.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1480 Lincoln Ave",
            "city": "San Rafael",
            "state": "CA",
            "country_code": "US",
            "postal_code": "949012084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Katie Ellen Smith
• Mary Jane Smith, RN, PHN, LMFT
• Michael Smith
• Robert Smith
• Sierra Smith, RD
• Stuart Holloway Smith, D.D.S.
• William Matthew Smith
• Dania Smithstein
• Anne B. Snyder, PHYSICAL THERAPIST
• Sonia Soans

• Marriage & Family Therapist in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.