Stephanie Whitson Clinical Psychologist, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

PSY002828 Issued in GA

Legal business name

STEPHANIE WHITSON CLINICAL PSYCHOLOGIST, LLC

Practice address

104 Borders Way
Suite 700
Warner Robins, GA 31088-8966

Phone

(478) 953-0088

NPI assigned

Sep 28, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Stephanie M. Whitson, PH.D.NPI 1609825488

Title

Owner

Phone

(478) 953-0088

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephanie Michelle Whitson, PHD

  • Clinical Psychologist
  • Warner Robins, GA
  • NPI 1609825488
  NPD (past) Authorized official
• Ingrid Knight, RD

  • Registered Dietitian
  • Watkinsville, GA
  • NPI 1093031338
  NPD (past)

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

{
    "created_epoch": "1254096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254096000000",
    "number": "1124352810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 BORDERS WAY",
            "address_2": "SUITE 700",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310888966",
            "telephone_number": "478-953-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 BORDERS WAY",
            "address_2": "SUITE 700",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310888966",
            "telephone_number": "478-953-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHANIE WHITSON CLINICAL PSYCHOLOGIST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-28",
        "last_updated": "2009-09-28",
        "status": "A",
        "authorized_official_last_name": "WHITSON",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-953-0088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "PSY002828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "887675424A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Starr, AUD
• Staygroundeed Healing, LLC
• Tammy Stecroix
• Mark Stein
• Stella Onyekwelu, OD
• Alicia Y Stephens
• Crystal Monte Stephens
• Kennedy Stephens
• Mary Stephens, RN
• Trent Douglas Sterenchock, M.D.

• Community/Behavioral Health Agency in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2009; 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.