Active NPI
Stefanie Yurcich Clifton, MFT
- Marriage & Family Therapist
- Woodland, CA
National Provider Identifier
1962886663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 48463
- Practice address
- 1003 Court St
Woodland, CA 95695-3520 - Phone
- (530) 220-2784
- NPI assigned
- Jul 13, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 | 48463 | CA | Primary |
Addresses
Primary practice location
1003 Court St
Woodland, CA 95695-3520
Mailing address
732 3Rd Street, Suite a
Davis, CA 95616-7310
Phone (530) 220-2784
Other names 1
- Stefanie Lynn Yurcich
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 13, 2024 through Mar 13, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48463 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438300800000",
"number": "1962886663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "732 3RD STREET, SUITE A",
"city": "DAVIS",
"state": "CA",
"postal_code": "956167310",
"telephone_number": "530-220-2784",
"fax_number": "530-302-3382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1003 COURT ST",
"city": "WOODLAND",
"state": "CA",
"postal_code": "956953520",
"telephone_number": "530-220-2784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLIFTON",
"first_name": "STEFANIE",
"middle_name": "YURCICH",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-13",
"last_updated": "2015-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "48463",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STEFANIE",
"last_name": "YURCICH",
"middle_name": "LYNN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Woodland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.