Active NPI
Stephen M Langer PHD P S
- Psychologist
- Olympia, WA
National Provider Identifier
1164645842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY00000929
- Legal business name
- STEPHEN M LANGER PHD P S
- Practice address
- 1021 Legion Way SE
Olympia, WA 98501-1522 - Phone
- (360) 754-8540
- Fax
- (360) 486-0116
- NPI assigned
- Apr 11, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Stephen Marc Langer, PH.D.
- Title
- President
- Phone
- (360) 754-8540
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY00000929 | WA | Primary |
Addresses
Primary practice location
1021 Legion Way SE
Olympia, WA 98501-1522
Mailing address
1021 Legion Way SE
Olympia, WA 98501-1522
Phone (360) 754-8540
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7079205 | Medicaid | WA |
Other names 1
- Northwest Brief Therapy Training Center
National Provider Directory
National Provider DirectoryLocations
1021 Legion Way SE
Olympia, WA 98501
Phone (253) 204-2700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705622400000",
"number": "1164645842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1021 LEGION WAY SE",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985011522",
"telephone_number": "360-754-8540",
"fax_number": "360-486-0116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1021 LEGION WAY SE",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985011522",
"telephone_number": "360-754-8540",
"fax_number": "360-486-0116"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEPHEN M LANGER PHD P S",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-11",
"last_updated": "2024-01-19",
"certification_date": "2024-01-19",
"status": "A",
"authorized_official_last_name": "LANGER",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "MARC",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "360-754-8540",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": "WA",
"license": "PY00000929",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7079205",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Northwest Brief Therapy Training Center",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.