Organization Active NPI

Stephdoly Behavioral Health Services

  • Psychiatric/Mental Health Nurse Practitioner
  • Carson, CA
National Provider Identifier
1245142637
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
STEPHDOLY BEHAVIORAL HEALTH SERVICES
Practice address
639 E 222ND St
Carson, CA 90745-3248
Phone
(562) 585-1284
NPI assigned
Sep 21, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2026

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

Authorized official

Name
Roseangel Anyanwu
Title
Ceo
Phone
(562) 585-1284

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

639 E 222ND St
Carson, CA 90745-3248

Mailing address

639 E 222ND St
Carson, CA 90745-3248

NPI Registry JSON

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

{
    "created_epoch": "1789948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789948800000",
    "number": "1245142637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 E 222ND ST",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907453248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 E 222ND ST",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907453248",
            "telephone_number": "562-585-1284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHDOLY BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-21",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A",
        "authorized_official_last_name": "ANYANWU",
        "authorized_official_first_name": "ROSEANGEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-585-1284"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.