Individual provider Active NPI

Stephen Anthony Dean, PHD

  • Psychologist
  • Canton, OH
National Provider Identifier
1245448216
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
5186 Issued in OH
Practice address
1369 Market Ave N
Canton, OH 44714-2611
Phone
(330) 455-2145
Fax
(330) 455-0131
NPI assigned
May 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 5186 OH Primary

Addresses

Primary practice location

1369 Market Ave N
Canton, OH 44714-2611

Mailing address

1369 Market Ave N
Canton, OH 44714-2611
Phone (330) 455-2145

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20200205002156 OH Practitioner - Clinical Psychologist 1759717085 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Village Network CurrentSince Nov 16, 2019 Accepting new patients

Locations

3011 Akron Rd
Wooster, OH 44691
Phone (330) 202-3875

2000 Noble Dr
Wooster, OH 44691
Phone (330) 439-8492

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1245448216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1369 MARKET AVE N",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447142611",
            "telephone_number": "330-455-2145",
            "fax_number": "330-455-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1369 MARKET AVE N",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447142611",
            "telephone_number": "330-455-2145",
            "fax_number": "330-455-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAN",
        "first_name": "STEPHEN",
        "middle_name": "ANTHONY",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "5186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.