Jacqueline H Stevenson, MSIOP

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

145 W Ostend St Ste 600
Baltimore, MD 21230-3774

Phone

(866) 500-0133

Fax

(866) 500-0133

NPI assigned

Dec 11, 2023

Last updated

Dec 11, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Counselors in the Community Association Co.

  • Case Manager/Care Coordinator
  • Baltimore, MD
  • NPI 1114709409
  NPD Authorized official

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

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1184491953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 W OSTEND ST STE 600",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212303774",
            "telephone_number": "866-500-0133",
            "fax_number": "866-500-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 W OSTEND ST STE 600",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212303774",
            "telephone_number": "866-500-0133",
            "fax_number": "866-500-0133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENSON",
        "first_name": "JACQUELINE",
        "middle_name": "H",
        "credential": "MSIOP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-11",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "MD",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha W Stevens, MD
• Priscilla Lynn Stevens, LCSW-C
• Robert Stevens, M.D.
• Yoko Stevens
• Gary Stevenson, CAC-AS
• Kamala D Stevenson, OTR/L
• Labrina Stevenson
• Marlene Gazella Stevenson, CAC-AD, MHS
• Meryl Stevenson, LGSW
• Ricardo Stevenson, M.D.

• Psychologist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; 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.