Zachary Thomas Stine, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

3796 Issued in OR

Practice address

6400 SE Lake Rd Ste 325
Milwaukie, OR 97222-2185

Phone

(503) 786-1711

Fax

(503) 786-9919

NPI assigned

Dec 11, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cornerstone Clinical Services PCGroup PAC ID 3274523378, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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 and National Provider Directory roles.

• Cornerstone Clinical Services PC

  • Community/Behavioral Health Agency
  • Milwaukie, OR
  • NPI 1093892895
  Medicare reassignment Care Compare group NPD
• Cornerstone Clinical Services, Inc

  • Community/Behavioral Health Agency
  • Lawton, OK
  • NPI 1184786238
  NPD
• George Fox University

  • Athletic Trainer
  • Newberg, OR
  • NPI 1770613036
  NPD (past)

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

{
    "created_epoch": "1576022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1194363945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 SE LAKE RD STE 325",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972222185",
            "telephone_number": "503-786-1711",
            "fax_number": "503-786-9919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 SE LAKE RD STE 325",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972222185",
            "telephone_number": "503-786-1711",
            "fax_number": "503-786-9919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STINE",
        "first_name": "ZACHARY",
        "middle_name": "THOMAS",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-11",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OR",
            "license": "3796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Stern-Fleege, MA, PCA R7893
• Amy Lyn Steward, OTR
• Andreea Diana Steward, PHARM.D.
• Kayla Stewart, LMT
• John C Stiger, D.O.
• Maura Rosalie Stinson
• Pamela Renee Stitt, PTA
• Nicole Lind Stiver
• Stephanie Renee Stock, PT ASSISTANT
• James Stone, PT, DPT

• Psychologist in Milwaukie, OR
• Providers in Milwaukie, OR by specialty
• Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.