Individual provider Active NPI

Stephanie E Ackner, M.D.

  • Psychiatry Physician
  • Dayton, OH
National Provider Identifier
1285734566
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35-088363 Issued in OH
Practice address
601 S Edwin C Moses Blvd
Northwest BLDG, 1St Floor
Dayton, OH 45408-1424
Phone
(937) 224-4646
Fax
(937) 224-1465
NPI assigned
Sep 25, 2006
Last updated
May 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 35-088363 OH Primary

Addresses

Primary practice location

601 S Edwin C Moses Blvd
Northwest BLDG, 1St Floor
Dayton, OH 45408-1424

Mailing address

541 Jenny LN
Dayton, OH 45459-1622
Phone (937) 299-6660

Other practice location 1

601 Edwin C. Moses Blvd.
Dayton, OH 45417
Phone (937) 734-8333

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061002000081 OH Practitioner - Psychiatry 6103821822 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Wright State University Boonshoft School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
South Community Inc.Group PAC ID 7315971066, 20 clinicians

Practice addresses (Care Compare)

3095 Kettering Blvd
Moraine, OH 45439-1983
Phone (937) 293-8300

601 S Edwin C Moses Blvd
Dayton, OH 45417-3424
Phone (937) 734-8333

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-088363OHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Behavioral Health, Inc. Current Accepting new patients
Samaritan Behavioral Health, Inc. CurrentSince Jan 28, 2013 Accepting new patients
Uvpc Specialists, Inc. CurrentSince Jun 1, 2025 Accepting new patients
Uvpc Specialists Inc. CurrentSince Jun 1, 2025 Accepting new patients

Locations

601 S Edwin C Moses Blvd
Dayton, OH 45417
Phone (937) 734-4310

601 S Edwin C Moses Blvd
Bldg 1ST
Dayton, OH 45417
Phone (937) 224-4646

601 S Edwin C Moses Blvd
Fl 1
Dayton, OH 45417
Phone (937) 224-1694

601 S Edwin C Moses Blvd
Fl 4
Dayton, OH 45417
Phone (937) 734-8333

3130 N County Road 25A
Ste 212
Troy, OH 45373
Phone (937) 335-0061

3130 N County Road 25A
Uppr Vly
Troy, OH 45373
Phone (937) 335-3561

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/sbhihelp/r4/

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1285734566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 JENNY LN",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454591622",
            "telephone_number": "937-299-6660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S EDWIN C MOSES BLVD",
            "address_2": "NORTHWEST BLDG, 1ST FLOOR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454081424",
            "telephone_number": "937-224-4646",
            "fax_number": "937-224-1465"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 Edwin C. Moses Blvd.",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "45417",
            "country_code": "US",
            "telephone_number": "937-734-8333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ACKNER",
        "first_name": "STEPHANIE",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2025-05-08",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35-088363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.