Individual provider Active NPI

Stephanie L Scifres, PHD, HSPP

  • Health Service Psychologist
  • Crothersville, IN
National Provider Identifier
1023090131
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service PsychologistTaxonomy code 103TH0100X
License
20041838A Issued in IN
Practice address
139 S East St
Crothersville, IN 47229-9635
Phone
(812) 793-2570
Fax
(812) 793-2570
NPI assigned
Nov 15, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 20041838A IN
Health Service Psychologist 103TH0100X 20041838A IN Primary

Addresses

Primary practice location

139 S East St
Crothersville, IN 47229-9635

Mailing address

139 S. East Street
PO Box 7
Crothersville, IN 47229-0007
Phone (812) 793-2570

Other identifiers 10

IdentifierTypeStateIssuer
203237690100OtherOHCARESOURCE
0393476OtherUTUNITED HEALTHCARE
000000381784OtherOHANTHEM BCBS
064755OtherINSIHO
258751OtherILCOMPSYCH
82272400OtherOHMAGELLAN
C 231810OtherTXUNITED AMERICAN INSURANCE
P00265867OtherGAMEDICARE RAILROAD CARRIER
000000381792OtherINANTHEM BCBS
7627650OtherCTAETNA

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
20041838AINMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Psychological Assessment & Consulting, PC Clinical PastSince Aug 12, 2005 Accepting new patients

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": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1023090131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 S. EAST STREET",
            "address_2": "PO BOX 7",
            "city": "CROTHERSVILLE",
            "state": "IN",
            "postal_code": "472290007",
            "telephone_number": "812-793-2570",
            "fax_number": "812-793-2570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 S EAST ST",
            "city": "CROTHERSVILLE",
            "state": "IN",
            "postal_code": "472299635",
            "telephone_number": "812-793-2570",
            "fax_number": "812-793-2570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCIFRES",
        "first_name": "STEPHANIE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PHD, HSPP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-15",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20041838A",
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "IN",
            "license": "20041838A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "203237690100",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0393476",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000381784",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIHO",
            "identifier": "064755",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPSYCH",
            "identifier": "258751",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "82272400",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED AMERICAN INSURANCE",
            "identifier": "C 231810",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD CARRIER",
            "identifier": "P00265867",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000381792",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7627650",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crothersville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.