Victor Emmanuel Stevenson, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2363 Issued in GA

Practice address

655 7TH Street, BLDG 704
78TH MDG
Robins Afb, GA 31098-5000

Phone

(478) 327-8398

Fax

(478) 327-8400

NPI assigned

Aug 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023127735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 STAPLETON RD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312165233",
            "telephone_number": "478-477-9143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 7TH STREET, BLDG 704",
            "address_2": "78TH MDG",
            "city": "ROBINS AFB",
            "state": "GA",
            "postal_code": "310985000",
            "telephone_number": "478-327-8398",
            "fax_number": "478-327-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENSON",
        "first_name": "VICTOR",
        "middle_name": "EMMANUEL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "2363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Anne Smetana, M.D.
• Tracy Turner Snider, LCSW
• Roberto Springer, PA
• Kevin Stanger, D.D.S.
• Cathleen Ann Steele-Hall, RDH
• Emily Stolten, D.O.
• Emmalyn V. Tague, PHYSICIAN ASSOCIATE
• Ashley Tarrant, PSY.D.
• Marvin Eugene Taylor, MD, MPH
• John Thacker II, USAF IDMT

• Clinical Psychologist in Robins Afb, GA
• Providers in Robins Afb, GA by specialty
• Clinical Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.