Active NPI
Laurie Ann Stephens, PH.D.
- Psychologist
- Encino, CA
National Provider Identifier
1063536407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY18520
- Practice address
- 15720 Ventura Blvd Ste 508
Encino, CA 91436-4743 - Phone
- (626) 755-5564
- NPI assigned
- Mar 19, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY18520 | CA | Primary |
Addresses
Primary practice location
15720 Ventura Blvd Ste 508
Encino, CA 91436-4743
Mailing address
15219 Magnolia Blvd
Unit D
Sherman Oaks, CA 91403-1125
Phone (626) 755-5564
Other practice location 1
13130 Burbank Blvd
Sherman Oaks, CA 91401-6037
Phone (818) 779-5103
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY18520 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568592000000",
"number": "1063536407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15219 MAGNOLIA BLVD",
"address_2": "UNIT D",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914031125",
"telephone_number": "626-755-5564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15720 VENTURA BLVD STE 508",
"city": "ENCINO",
"state": "CA",
"postal_code": "914364743",
"telephone_number": "626-755-5564"
}
],
"practiceLocations": [
{
"address_1": "13130 Burbank Blvd",
"address_purpose": "LOCATION",
"city": "Sherman Oaks",
"state": "CA",
"postal_code": "914016037",
"country_code": "US",
"telephone_number": "818-779-5103",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEPHENS",
"first_name": "LAURIE",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-19",
"last_updated": "2019-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY18520",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Encino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.