Scott W Stubenrauch, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071007574 Issued in IL

Practice address

339 Alana Dr
New Lenox, IL 60451-1766

Phone

(815) 462-3827

NPI assigned

Sep 26, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Wolfe Behavioral Health P.C.

  • Clinical Psychologist
  • New Lenox, IL
  • NPI 1356368195
  NPD (past)

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

{
    "created_epoch": "1253923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253923200000",
    "number": "1295069029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 ALANA DR",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604511766",
            "telephone_number": "815-462-3827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 ALANA DR",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604511766",
            "telephone_number": "815-462-3827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUBENRAUCH",
        "first_name": "SCOTT",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-26",
        "last_updated": "2009-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071007574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn Marie Stoltze, DPT
• Alex Jacob Stone, DO
• Stopka Professional Counseling LLC
• Howard T Strassner, MD
• Becky Strilko
• Susan Studenroth
• Megan Elizabeth Suligoy, PA-C
• Nicole Sulikowski
• Kari A Sullivan, PHARMD
• Paul G Sullivan, PT

• Clinical Psychologist in New Lenox, IL
• Providers in New Lenox, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.