Individual provider Active NPI

Stephen Scott Grabner II

  • Clinical Psychologist
  • Jbsa-Lackland, TX
National Provider Identifier
1003350109
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
06297 Issued in MD
Practice address
Wilford Hall Ambulatory Surgical Center
1100 Wilford Hall Loop
Jbsa-Lackland, TX 78236
Phone
(210) 652-2448
NPI assigned
Dec 7, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 06297 MD Primary

Addresses

Primary practice location

Wilford Hall Ambulatory Surgical Center
1100 Wilford Hall Loop
Jbsa-Lackland, TX 78236

Mailing address

18230 E Silver Creek Ave BLDG 392
Buckley Afb, CO 80011-9501
Phone (720) 847-6451

Other practice location 1

300 Tuskegee Blvd
Dover AFB, DE 19902-5003
Phone (302) 677-2674

Other practice location 2

18230 E Silver Creek Ave Bldg 392
Buckley AFB, CO 80011-9501
Phone (720) 847-6451

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
06297MDMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1481068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1003350109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18230 E SILVER CREEK AVE BLDG 392",
            "city": "BUCKLEY AFB",
            "state": "CO",
            "postal_code": "800119501",
            "telephone_number": "720-847-6451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WILFORD HALL AMBULATORY SURGICAL CENTER",
            "address_2": "1100 WILFORD HALL LOOP",
            "city": "JBSA-LACKLAND",
            "state": "TX",
            "postal_code": "78236",
            "telephone_number": "210-652-2448"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Tuskegee Blvd",
            "address_purpose": "LOCATION",
            "city": "Dover AFB",
            "state": "DE",
            "postal_code": "199025003",
            "country_code": "US",
            "telephone_number": "302-677-2674",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18230 E Silver Creek Ave Bldg 392",
            "address_purpose": "LOCATION",
            "city": "Buckley AFB",
            "state": "CO",
            "postal_code": "800119501",
            "country_code": "US",
            "telephone_number": "720-847-6451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRABNER",
        "first_name": "STEPHEN",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-07",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "06297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jbsa-Lackland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; 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.