Active NPI
Stephanie Robertson, PHD
- Psychologist
- Stephenville, TX
National Provider Identifier
1285331082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 36562
- Practice address
- 1333 W Washington T-1052
Stephenville, TX 76402-1745 - Phone
- (254) 968-9813
- NPI assigned
- Feb 13, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 70480 | TX | |
| Psychologist | 103T00000X | 36562 | TX | Primary |
Addresses
Primary practice location
1333 W Washington T-1052
Stephenville, TX 76402-1745
Mailing address
1333 W Washington St # T-1052
Stephenville, TX 76401-4168
Phone (704) 678-0053
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 70480 | TX | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679443200000",
"number": "1285331082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1333 W WASHINGTON ST # T-1052",
"city": "STEPHENVILLE",
"state": "TX",
"postal_code": "764014168",
"telephone_number": "704-678-0053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1333 W WASHINGTON T-1052",
"city": "STEPHENVILLE",
"state": "TX",
"postal_code": "764021745",
"telephone_number": "254-968-9813"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTSON",
"first_name": "STEPHANIE",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-13",
"last_updated": "2023-03-22",
"certification_date": "2023-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "TX",
"license": "70480",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "36562",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stephenville, TX
- Sarah Kathryn Rickels, PTA
- Debra Lynnette Riddick, PTA
- Clayton K Roberts, D.O.
- Julie Roberts, M.S., CCC/SLP
- Michelle Roberts, PHARMD, RPH
- Robin L. Harrison, D.D.S. & Crista K. Harrison, D.D.S., P.C.
- Rock House of Georgetown, Inc.
- Rock House of Midland, Inc.
- Rock House of Stephenville, Inc.
- Rock House of Texas, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.