Active NPI
Denise Stylianides, M.A.
- Marriage & Family Therapist
- La Verne, CA
National Provider Identifier
1962875013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 89483
- Practice address
- 1025 Sentinel Dr
Suite 200
La Verne, CA 91750-3280 - Phone
- (909) 593-2581
- Fax
- (909) 596-3567
- NPI assigned
- Nov 10, 2015
- Sex
- Female
- Sole proprietor
- No
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 | 89483 | CA | Primary |
Addresses
Primary practice location
1025 Sentinel Dr
Suite 200
La Verne, CA 91750-3280
Mailing address
1025 Sentinel Dr
Suite 200
La Verne, CA 91750-3280
Phone (909) 593-2581
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7565A | Other | CA | OUTPATIENT MENTAL HEALTH |
Other names 1
- Denise Palenzuela
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Haynes Family of Programs | Past | Accepting new patients | |
| Haynes Family of Programs | Past | Accepting new patients | |
| Leroy Haynes Center | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Mental Illness Community Based Residential Treatment Facility
- La Verne, CA
- NPI 1164548236
-
- Mental Illness Community Based Residential Treatment Facility
- La Verne, CA
- NPI 1851642193
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- La Verne, CA
- NPI 1467713743
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524096000000",
"number": "1962875013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 SENTINEL DR",
"address_2": "SUITE 200",
"city": "LA VERNE",
"state": "CA",
"postal_code": "917503280",
"telephone_number": "909-593-2581",
"fax_number": "909-596-3567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 SENTINEL DR",
"address_2": "SUITE 200",
"city": "LA VERNE",
"state": "CA",
"postal_code": "917503280",
"telephone_number": "909-593-2581",
"fax_number": "909-596-3567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STYLIANIDES",
"first_name": "DENISE",
"name_prefix": "Mrs.",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-10",
"last_updated": "2018-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "89483",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OUTPATIENT MENTAL HEALTH",
"identifier": "7565A",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DENISE",
"last_name": "PALENZUELA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in La Verne, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.