Active NPI
Jeremy Stembridge, PSY. SPEC.
- School Psychologist
- Mount Pleasant, MI
National Provider Identifier
1306336466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- SP0000000773967
- Practice address
- 2520 University Park BLDG D
Mount Pleasant, MI 48858-4464 - Phone
- (989) 774-2529
- Fax
- (989) 774-2074
- NPI assigned
- May 15, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | SP0000000773967 | MI | Primary |
Addresses
Primary practice location
2520 University Park BLDG D
Mount Pleasant, MI 48858-4464
Mailing address
2333 Cornerstone Dr
Mount Pleasant, MI 48858-1508
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP0000000773967 | MI | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526342400000",
"number": "1306336466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2333 CORNERSTONE DR",
"city": "MOUNT PLEASANT",
"state": "MI",
"postal_code": "488581508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2520 UNIVERSITY PARK BLDG D",
"city": "MOUNT PLEASANT",
"state": "MI",
"postal_code": "488584464",
"telephone_number": "989-774-2529",
"fax_number": "989-774-2074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEMBRIDGE",
"first_name": "JEREMY",
"credential": "PSY. SPEC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-05-15",
"last_updated": "2018-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "MI",
"license": "SP0000000773967",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Pleasant, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.