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  7. NPI Record 1528299724

MS. ANASTACIA STANLEY M.A., LMFT
Complete NPI Record 1528299724
Marriage & Family Therapist in Stockton, CA

NPI Status: Active since August 05, 2009

Contact Information

7373 WEST LN
STOCKTON, CA
ZIP 95210
Phone: (209) 476-2000

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Table of Contents

  1. NPI
  2. Entity Type Code
  3. Provider Last Name Legal Name
  4. Provider First Name
  5. Provider Name Prefix Text
  6. Provider Credential Text
  7. Provider First Line Business Mailing Address
  8. Provider Business Mailing Address City Name
  9. Provider Business Mailing Address State Name
  10. Provider Business Mailing Address Postal Code
  11. Provider Business Mailing Address Country Code If outside U S
  12. Provider Business Mailing Address Telephone Number
  13. Provider First Line Business Practice Location Address
  14. Provider Business Practice Location Address City Name
  15. Provider Business Practice Location Address State Name
  16. Provider Business Practice Location Address Postal Code
  17. Provider Business Practice Location Address Country Code If outside U S
  18. Provider Business Practice Location Address Telephone Number
  19. Provider Enumeration Date
  20. Last Update Date
  21. Provider Gender Code
  22. Healthcare Provider Taxonomy Code 1
  23. Provider License Number 1
  24. Provider License Number State Code 1
  25. Healthcare Provider Primary Taxonomy Switch 1
  26. Other Provider Identifier 1
  27. Other Provider Identifier Type Code 1
  28. Other Provider Identifier State 1
  29. Is Sole Proprietor
  30. NPI Certification Date

Complete NPI Dataset

This page represents the complete record for NPI 1528299724. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.

NPI: 1528299724
The city name in the location address of the provider being identified.
Entity Type Code: 1
The State code in the location of the provider being identified.
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider First Name: ANASTACIA
The country code in the location address of the provider being identified.
Provider Name Prefix Text: MS.
The telephone number associated with the location address of the provider being identified.
Provider Credential Text: M.A., LMFT
The date the provider was assigned a unique identifier (assigned an NPI).
Provider First Line Business Mailing Address: 7373 WEST LN
The date that a record was last updated or changed.
Provider Business Mailing Address City Name: STOCKTON
The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Provider Business Mailing Address State Name: CA
The first name of the authorized official.
Provider Business Mailing Address Postal Code: 952103377
The title or position of the authorized official.
Provider Business Mailing Address Country Code If outside U S : US
The 10-position telephone number of the authorized official.
Provider Business Mailing Address Telephone Number: 2094762000
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Provider First Line Business Practice Location Address: 7373 WEST LN
Provider Business Practice Location Address City Name: STOCKTON
Provider Business Practice Location Address State Name: CA
Provider Business Practice Location Address Postal Code: 952103377
Provider Business Practice Location Address Country Code If outside U S : US
Provider Business Practice Location Address Telephone Number: 2094762000
The telephone number associated with the location address of the provider being identified.
Provider Enumeration Date: 8/5/2009
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date: 4/12/2024
The date that a record was last updated or changed.
Provider Gender Code: F
The code designating the provider’s gender if the provider is a person.
Healthcare Provider Taxonomy Code 1: 106H00000X
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Provider License Number 1: 87417
The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
Provider License Number State Code 1: CA
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Healthcare Provider Primary Taxonomy Switch 1: Y
Other Provider Identifier 1: 0000007GW
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Other Provider Identifier Type Code 1: 05
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Other Provider Identifier State 1: CA
Is Sole Proprietor: N
Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No
NPI Certification Date: 4/12/2024