Organization Active NPI

Stephen M Langer PHD P S

  • Psychologist
  • Olympia, WA
National Provider Identifier
1164645842
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY00000929 Issued in WA
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

Updated by the provider on Jan 19, 2024

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)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
7079205MedicaidWA

Other names 1

  • Northwest Brief Therapy Training Center Other name

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.