Individual provider Active NPI

Stephanie Dianne Womack, PHD

  • Psychologist
  • Bartonville, TX
National Provider Identifier
1144734039
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
37669 Issued in TX
Practice address
2652 FM 407 E Ste 235
Bartonville, TX 76226-7025
Phone
(940) 205-8335
Fax
(866) 899-7939
NPI assigned
Nov 30, 2017
Last updated
May 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 37669 TX Primary

Addresses

Primary practice location

2652 FM 407 E Ste 235
Bartonville, TX 76226-7025

Mailing address

2648 FM 407 E Ste 225
Bartonville, TX 76226-7028
Phone (940) 205-8335

Other practice location 1

2468 FM 407
225
Bartonville, TX 76226
Phone (940) 205-8335

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
37669TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Assist Psychological Services, PLLC Psychologist Current Accepting new patients
CPST Healthcare, LLC Psychologist PastSince Mar 1, 2024 Accepting new patients
Spectrus Psychological Services Corp PastSince May 16, 2022 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1512000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1144734039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2648 FM 407 E STE 225",
            "city": "BARTONVILLE",
            "state": "TX",
            "postal_code": "762267028",
            "telephone_number": "940-205-8335",
            "fax_number": "866-899-7939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2652 FM 407 E STE 235",
            "city": "BARTONVILLE",
            "state": "TX",
            "postal_code": "762267025",
            "telephone_number": "940-205-8335",
            "fax_number": "866-899-7939"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2468 FM 407",
            "address_2": "225",
            "address_purpose": "LOCATION",
            "city": "Bartonville",
            "state": "TX",
            "postal_code": "76226",
            "country_code": "US",
            "telephone_number": "940-205-8335",
            "fax_number": "866-899-7939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOMACK",
        "first_name": "STEPHANIE",
        "middle_name": "DIANNE",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-30",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "37669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartonville, TX

Sources for this page

Verify at the official NPI Registry.