Phyllis Stevens, M.A.

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

BG1005512 Issued in OH

Practice address

525 E Main St
Hebron, OH 43025-9702

Phone

(740) 928-5878

NPI assigned

Dec 11, 2014

Last updated

Dec 11, 2014By the provider in NPPES

Sex

Female

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

Master of Arts

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lakewood Local Schools

  • Speech-Language Pathologist
  • Hebron, OH
  • NPI 1932346384
  NPD (past)

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

{
    "created_epoch": "1418256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418256000000",
    "number": "1235537960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 E MAIN ST",
            "city": "HEBRON",
            "state": "OH",
            "postal_code": "430259702",
            "telephone_number": "740-928-5878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 E MAIN ST",
            "city": "HEBRON",
            "state": "OH",
            "postal_code": "430259702",
            "telephone_number": "740-928-5878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "PHYLLIS",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-11",
        "last_updated": "2014-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "OH",
            "license": "BG1005512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Safe Place Bedding, LLC
• Nautica Yvonne Schriver
• Michele Small
• Yolanda Stonom Smith
• Steven S Lee, D.D.S. Inc
• Bridget Suver
• Target Microsystems, Inc.
• The Kroger Co (Kroger Pharmacy)
• TNT Cares LLC.
• Village of Hebron (Village of Hebron Fire & EMS)

• School Psychologist in Hebron, OH
• Providers in Hebron, OH by specialty
• School Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2014; 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.