Terry Lou Stagman, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071002979 Issued in IL

Practice address

1100 Lake Street
Suite LL38
Oak Park, IL 60301-1015

Phone

(312) 565-2838

Fax

(312) 207-0162

NPI assigned

Jan 9, 2007

Sex

Female

Sole proprietor

No

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

Credentials

Doctor of Philosophy

State licenses

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.

• Davken Associates, P.C.

  • Clinical Psychologist
  • Deerfield, IL
  • NPI 1457393159
  NPD (past)

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216944000000",
    "number": "1295884559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 LAKE STREET",
            "address_2": "SUITE LL38",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011015",
            "telephone_number": "312-565-2838",
            "fax_number": "312-207-0162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 LAKE STREET",
            "address_2": "SUITE LL38",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011015",
            "telephone_number": "312-565-2838",
            "fax_number": "312-207-0162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAGMAN",
        "first_name": "TERRY",
        "middle_name": "LOU",
        "name_prefix": "Ms.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2008-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071002979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Spurlock, APN-CNP
• Harsaheb Kaur Sra, MD
• Alka Srivastava, M.B.B.S
• Michele Stack, CRNA
• Tiffany Alese Staesche, ARDMS
• Jacqueline Therese Stamm, LPC
• Olga Marie Stamp Rubio
• Carol Stanley, APN FNP-BC
• Amy Christine Starin, MSW, LCSW
• Patricia J Starkey, DPT

• Clinical Psychologist in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2008; 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.