Lawrence James Stava, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

966-057 Issued in WI

Practice address

705 W Main St
Suite 3
Sun Prairie, WI 53590-2849

Phone

(608) 825-6663

Fax

(608) 825-6946

NPI assigned

Sep 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Philosophy

State licenses

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.

• Sun Prairie Psychological Services

  • Clinical Psychologist
  • Sun Prairie, WI
  • NPI 1306991682
  NPD Authorized official

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215028311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 W MAIN ST",
            "address_2": "SUITE 3",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535902849",
            "telephone_number": "608-825-6663",
            "fax_number": "608-825-6946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 W MAIN ST",
            "address_2": "SUITE 3",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535902849",
            "telephone_number": "608-825-6663",
            "fax_number": "608-825-6946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAVA",
        "first_name": "LAWRENCE",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WI",
            "license": "966-057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN PLUS INSURANCE",
            "identifier": "1011066",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39030200",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITY HEALTH PLAN",
            "identifier": "39172774704",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Phillip L. Stall, MD
• April Marie Stalsberg, LPN
• Ashley Stankey
• Nicole Stanley, OTR/L
• State Medicaid
• Zoe Steinmetz, RN
• Stephanie M Stenseth, APNP
• Christopher John Stevens, DDS
• Genevieve Nicole Stevens, CPM
• Joshua D Stine, PHARMD

• Psychologist in Sun Prairie, WI
• Providers in Sun Prairie, WI by specialty
• Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.