Paul Andrew Stebbins, PH.D

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

PSY 23408 Issued in CA

Practice address

15409 Dickens St
Sherman Oaks, CA 91403-3009

Phone

(818) 986-4362

Fax

(818) 986-9263

NPI assigned

Nov 8, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Robert Colegrove Psychological Services Inc

  • Clinical Child & Adolescent Psychologist
  • Sherman Oaks, CA
  • NPI 1659579217
  NPD (past)

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276732800000",
    "number": "1235319161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15409 DICKENS ST",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033009",
            "telephone_number": "818-986-4362",
            "fax_number": "818-986-9263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15409 DICKENS ST",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033009",
            "telephone_number": "818-986-4362",
            "fax_number": "818-986-9263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEBBINS",
        "first_name": "PAUL",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-08",
        "last_updated": "2010-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CA",
            "license": "PSY 23408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mia Stallworth
• Jasmine Stanley-Haskins
• Anita Stanley, MFT
• Stanson Health, Inc.
• Gregory Christopher Stavaridis, NP
• Shelly K. Stee, LMFT
• Mark Stein, DR.
• Craig S Steinberg, O.D.
• Jacqueline Steinberg, LCSW
• Stephen S Klevens MD Inc

• Clinical Child & Adolescent Psychologist in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Clinical Child & Adolescent Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2010; 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.