Individual provider Active NPI

Mark Stephens

  • Acupuncturist
  • Southfield, MI
National Provider Identifier
1003282419
Registry record updated Dec 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
25004465 Issued in NY
Practice address
16250 Northland Dr Ste 223
Southfield, MI 48075-5205
Phone
(845) 235-6618
NPI assigned
Aug 19, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 25004465 NY Primary

Addresses

Primary practice location

16250 Northland Dr Ste 223
Southfield, MI 48075-5205

Mailing address

1 Church St
New Paltz, NY 12561-1514
Phone (845) 235-6618

Other practice location 1

1 Church St
New Paltz, NY 12561-1514
Phone (845) 235-6618

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

State licenses

LicenseStateTypeSpecialty
25004465NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Health Point PC Acupuncturist CurrentSince Dec 12, 2021 Accepting new patients

Locations

16250 Northland Dr
Ste 223
Southfield, MI 48075
Phone (845) 235-6618

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639094400000",
    "number": "1003282419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CHURCH ST",
            "city": "NEW PALTZ",
            "state": "NY",
            "postal_code": "125611514",
            "telephone_number": "845-235-6618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16250 NORTHLAND DR STE 223",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480755205",
            "telephone_number": "845-235-6618"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Church St",
            "address_purpose": "LOCATION",
            "city": "New Paltz",
            "state": "NY",
            "postal_code": "125611514",
            "country_code": "US",
            "telephone_number": "845-235-6618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "MARK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-19",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "25004465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.