Active NPI
Nathan Stephens, PSYD.
- Clinical Psychologist
- Canton, OH
National Provider Identifier
1154592608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6426
- Practice address
- 4450 Belden Village St NW
Suite 701
Canton, OH 44718-2552 - Phone
- (330) 493-2554
- NPI assigned
- Mar 12, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6426 | OH | Primary |
Addresses
Primary practice location
4450 Belden Village St NW
Suite 701
Canton, OH 44718-2552
Mailing address
37 N Broadway St
Akron, OH 44308-1910
Phone (330) 535-8181
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6426 | OH | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205280000000",
"number": "1154592608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 N BROADWAY ST",
"city": "AKRON",
"state": "OH",
"postal_code": "443081910",
"telephone_number": "330-535-8181",
"fax_number": "330-535-9303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4450 BELDEN VILLAGE ST NW",
"address_2": "SUITE 701",
"city": "CANTON",
"state": "OH",
"postal_code": "447182552",
"telephone_number": "330-493-2554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENS",
"first_name": "NATHAN",
"credential": "PSYD.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-03-12",
"last_updated": "2008-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OH",
"license": "6426",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.