Active NPI
Jeanne M. Stedrak, PH.D.
- Psychologist
- Brentwood, TN
National Provider Identifier
1114135993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- P0000000801
- Practice address
- 278 Franklin Rd
Suite 239
Brentwood, TN 37027-5224 - Phone
- (615) 373-9650
- NPI assigned
- May 18, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | P0000000801 | TN | Primary |
Addresses
Primary practice location
278 Franklin Rd
Suite 239
Brentwood, TN 37027-5224
Mailing address
278 Franklin Rd
Suite 239
Brentwood, TN 37027-5224
Phone (615) 373-9650
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 |
|---|---|---|---|
| P0000000801 | TN | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114135993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "278 FRANKLIN RD",
"address_2": "SUITE 239",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370275224",
"telephone_number": "615-373-9650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "278 FRANKLIN RD",
"address_2": "SUITE 239",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370275224",
"telephone_number": "615-373-9650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEDRAK",
"first_name": "JEANNE",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TN",
"license": "P0000000801",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brentwood, TN
Sources for this page
- 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.