Active NPI
Debra Clough Stokan, MD
- Psychiatry Physician
- Katy, TX
National Provider Identifier
1316059595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- K0444
- Practice address
- 23501 Cinco Ranch Blvd
Suite G270
Katy, TX 77494-3095 - Phone
- (281) 394-2005
- Fax
- (281) 394-5581
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | K0444 | TX | Primary |
| Child & Adolescent Psychiatry Physician | 2084P0804X | K0444 | TX |
Addresses
Primary practice location
23501 Cinco Ranch Blvd
Suite G270
Katy, TX 77494-3095
Mailing address
25933 Karen Rd
Katy, TX 77494-5557
Phone (713) 876-8313
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K0444 | TX | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ut Physicians | Psychiatry | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486944000000",
"number": "1316059595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25933 KAREN RD",
"city": "KATY",
"state": "TX",
"postal_code": "774945557",
"telephone_number": "713-876-8313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23501 CINCO RANCH BLVD",
"address_2": "SUITE G270",
"city": "KATY",
"state": "TX",
"postal_code": "774943095",
"telephone_number": "281-394-2005",
"fax_number": "281-394-5581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOKAN",
"first_name": "DEBRA",
"middle_name": "CLOUGH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2017-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "K0444",
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "TX",
"license": "K0444",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Katy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.