Active NPI
Stephen Billmann, PSYD
- Clinical Psychologist
- Mason, OH
National Provider Identifier
1003207846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 5467
- Practice address
- 8118 Corporate Way
Suite #121
Mason, OH 45040-7350 - Phone
- (513) 297-3455
- Fax
- (513) 297-0841
- NPI assigned
- Feb 16, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | 5467 | OH | |
| Clinical Psychologist | 103TC0700X | 5467 | OH | Primary |
Addresses
Primary practice location
8118 Corporate Way
Suite #121
Mason, OH 45040-7350
Mailing address
8118 Corporate Way
Suite #121
Mason, OH 45040-7350
Phone (513) 297-3455
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 21, 2020 through Feb 21, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5467 | OH | MD | Cognitive & Behavioral Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424044800000",
"number": "1003207846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8118 CORPORATE WAY",
"address_2": "SUITE #121",
"city": "MASON",
"state": "OH",
"postal_code": "450407350",
"telephone_number": "513-297-3455",
"fax_number": "513-297-0841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8118 CORPORATE WAY",
"address_2": "SUITE #121",
"city": "MASON",
"state": "OH",
"postal_code": "450407350",
"telephone_number": "513-297-3455",
"fax_number": "513-297-0841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BILLMANN",
"first_name": "STEPHEN",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-02-16",
"last_updated": "2015-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "OH",
"license": "5467",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OH",
"license": "5467",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mason, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.