Active NPI
Steven A Stein, PH.D.
- Psychologist
- Ravenna, OH
National Provider Identifier
1306936711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 4781
- Practice address
- 308 Bryn Mawr St
Unit I
Ravenna, OH 44266-7708 - Phone
- (330) 221-2088
- NPI assigned
- Oct 14, 2006
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 4781 | OH | Primary |
Addresses
Primary practice location
308 Bryn Mawr St
Unit I
Ravenna, OH 44266-7708
Mailing address
308 Bryn Mawr St 1
Ravenna, OH 44266-7708
Phone (330) 221-2088
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0978198 | Medicaid | OH |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442361600000",
"number": "1306936711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "308 BRYN MAWR ST 1",
"city": "RAVENNA",
"state": "OH",
"postal_code": "442667708",
"telephone_number": "330-221-2088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "308 BRYN MAWR ST",
"address_2": "UNIT I",
"city": "RAVENNA",
"state": "OH",
"postal_code": "442667708",
"telephone_number": "330-221-2088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEIN",
"first_name": "STEVEN",
"middle_name": "A",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-14",
"last_updated": "2015-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OH",
"license": "4781",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0978198",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ravenna, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.