Active NPI
Stephdoly Behavioral Health Services
- Psychiatric/Mental Health Nurse Practitioner
- Carson, CA
National Provider Identifier
1245142637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 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
- Southbay Transportation Inc
- Kathryn Rose Spangenberg, PA-C
- St Kerollos Pharmacy Inc (Carson Discount Pharmacy)
- Star View Behavioral Health, Inc.
- Star View Behavioral Health, Inc. (Star View Community Services)
- Debra Susan Stern, M.P.T.
- Anita Joyce Stevens
- Katherine Stevenson, CHES
- Kennya Stokes, LVN
- Jacklyn Suarez, PHARMD
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.