Beth Kristine Staehling, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY21213 Issued in CA

Practice address

2233 Honolulu Ave
Suite 313
Montrose, CA 91103

Phone

(626) 388-4746

Fax

(562) 426-5211

NPI assigned

Dec 28, 2006

Last updated

Feb 28, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330387200000",
    "number": "1174689848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 HONOLULU AVE",
            "address_2": "SUITE 313",
            "city": "MONTROSE",
            "state": "CA",
            "postal_code": "91103",
            "telephone_number": "626-388-4746",
            "fax_number": "562-426-5211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 HONOLULU AVE",
            "address_2": "SUITE 313",
            "city": "MONTROSE",
            "state": "CA",
            "postal_code": "91103",
            "telephone_number": "626-388-4746",
            "fax_number": "562-426-5211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAEHLING",
        "first_name": "BETH",
        "middle_name": "KRISTINE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2012-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY21213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Montrose, CA
• Providers in Montrose, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2012; 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.