MS. STEPHANIE NICOLE SANSOM (NPI# 1770729014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770729014 |
| Entity Type | Individual |
| Full Name | MS. STEPHANIE NICOLE SANSOM |
| Credential | MA |
| Practice Address |
233 Base Line Rd La Verne CA 91750-2353 |
| Mailing Address |
Po Box 400 La Verne CA 91750-0400 |
| Practice Telephone | 9095932581 |
| Mailing Telephone | 9095932581 |
| Enumeration Date | 2008-12-16 |
| Last Update Date | 2008-12-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | IMF 58268 | CA | Behavioral Health & Social Service Providers |
| Street Address |
233 BASE LINE RD |
| City | LA VERNE |
| State | CA |
| Zip Code | 91750-2353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134256092 | David Pickup | Counselor | 233 Base Line Rd, Box 400, La Verne, CA 91750-2353 | 2007-02-27 |
| 1760611636 | Ray Jamaal Herndon | Counselor | 233 Base Line Rd, La Verne, CA 91750-2353 | 2009-07-13 |
| 1639378805 | Melvin Franklin Brooks | Counselor | 233 Base Line Rd, La Verne, CA 91750-2353 | 2007-07-17 |
| 1720284722 | Tarita Lillian Collins | Licensed Vocational Nurse | 233 Base Line Rd, La Verne, CA 91750-2353 | 2007-06-26 |
| 1619097433 | Danille P Ijoma | Licensed Vocational Nurse | 233 Base Line Rd, La Verne, CA 91750-2353 | 2007-03-29 |
| 1033235056 | Rene C Cendejas | Counselor | 233 Base Line Rd, La Verne, CA 91750-2353 | 2007-03-21 |
| 1699891770 | Alice Leyva | Marriage & Family Therapist | 233 Base Line Rd, Box 400, La Verne, CA 91750-2353 | 2007-03-21 |
| 1699891788 | Carl Eugene Bailey Jr. | Social Worker | 233 Base Line Rd, Box 400, La Verne, CA 91750-2353 | 2007-03-21 |
| 1942334099 | Marisa Monique Mugica | Social Worker | 233 Base Line Rd, La Verne, CA 91750-2353 | 2007-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548893324 | Alexis Ashley Andom | Occupational Therapist | 2061 Wright Ave., La Verne, CA 91750 | 2020-02-19 |
| 1952810855 | Wendy P Marrufo | Physical Therapist | 2590 Hayes Drive, La Verne, CA 91750 | 2017-09-22 |
| 1770006009 | Lineth Fiorella Florian | Family Medicine | 2333 Foothill Blvd, La Verne, CA 91750 | 2017-07-18 |
| 1205204765 | Heather Amanda Jantz Garcia | Specialist | 2061 Wright Avenue, Suite A-7, La Verne, CA 91750 | 2015-09-14 |
| 1255779864 | Carla Ureno | Counselor | 911 Herbine Street, La Verne, CA 91750 | 2013-06-06 |
| 1538459011 | Sameer K Hassamal | Psychiatry & Neurology | 4201 Hartshorn Ranch Pl, La Verne, CA 91750 | 2011-04-18 |
| 1134351695 | Robin Lorinne Clarkson | Physical Therapist | 2125 Wright Avenue, Ste C1, La Verne, CA 91750 | 2009-08-18 |
| 1477784767 | Sb Home Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 781 Canyon View Dr, Laverne, CA 91750 | 2009-08-04 |
| 1295978872 | Vi Hung Ly | Chiropractor | 1145 Foothill Blvd., La Verne, CA 91750 | 2009-04-13 |
| 1700906138 | Laura Nazaryan | Physical Therapist | 2123 Foothill Blvd Ste D, La Verne, CA 91750 | 2007-03-30 |
| Find all providers in zip 91750 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245663764 | Stephanie Shepard | Marriage & Family Therapist | 4715 Larkspur Ln, La Verne, CA 91750-1958 | 2013-08-20 |
| 1265671747 | Anna Marie Durham | Marriage & Family Therapist | 1249 Oak View Ln, Suite 100, La Verne, CA 91750-1527 | 2009-02-06 |
| 1588827083 | Marcee Dorai Zari | Marriage & Family Therapist | 223 West Baseline Rd, 400, La Verne, CA 91750-0400 | 2008-07-03 |
| 1104000421 | Deborah Jean Chalew | Marriage & Family Therapist | 3920 Turquoise Ln, La Verne, CA 91750-2678 | 2007-12-21 |
| 1932231586 | Alicia Landa | Marriage & Family Therapist | 3530 Damien Ave Spc 36, La Verne, CA 91750-3208 | 2007-03-09 |
| 1952480642 | Debra Joan Evans | Marriage & Family Therapist | 233 Baseline Rd, La Verne, CA 91750-2353 | 2006-11-03 |
| 1366536500 | Susan L Haly | Marriage & Family Therapist | 2120 Foothill Blvd, Ste 105, La Verne, CA 91750 | 2006-10-03 |
| 1649801739 | Lesley Louise Fisher | Marriage & Family Therapist | 1350 3rd St, La Verne, CA 91750-5201 | 2020-01-28 |
| 1356997290 | Laurena Pham | Marriage & Family Therapist | 1350 3rd St, La Verne, CA 91750-5201 | 2019-08-15 |
| 1235795006 | Joycelyn Givens Stallworth | Marriage & Family Therapist | 233 Baseline Rd, La Verne, CA 91750-2353 | 2019-05-16 |
| Find all providers in LA VERNE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.