Alan D Stephenson, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

24586 Issued in TX

Practice address

326 S Ravinia Dr
Dallas, TX 75211-5182

Phone

(972) 807-2140

Fax

(214) 339-2279

NPI assigned

Jun 7, 2006

Sex

Male

Sole proprietor

Yes

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Sonlight Psychological Services, PC

  • Clinical Psychologist
  • Dallas, TX
  • NPI 1710182134
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1235179359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 S RAVINIA DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752115182",
            "telephone_number": "214-549-5442",
            "fax_number": "214-339-2279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 S RAVINIA DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752115182",
            "telephone_number": "972-807-2140",
            "fax_number": "214-339-2279"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "230 S Clark Rd",
            "address_purpose": "LOCATION",
            "city": "Cedar Hill",
            "state": "TX",
            "postal_code": "751042750",
            "country_code": "US",
            "telephone_number": "972-803-5294",
            "fax_number": "214-339-2279",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "105 Juliette Fowler St",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752144876",
            "country_code": "US",
            "telephone_number": "972-807-2140",
            "fax_number": "214-339-2279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEPHENSON",
        "first_name": "ALAN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "24586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "87124A",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134256008",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1731705",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Stephens, M.D.
• Nyga Miracle Stephens
• Paige Stephens, BS, IONM
• Patricie Stephens
• Portia Lynette Stephens, RN MS FNP-C
• Jill Stanley Stephenson, M.D.
• Katilin Marie Stephenson, PA-S
• Malia Linda Stephenson, CRNA
• Monica Stephenson, LMFT-A, LPC-A
• Phylicia L Stephenson, CRNA

• Clinical Psychologist in Dallas, TX
• Providers in Dallas, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.