Individual provider Active NPI

Debra Clough Stokan, MD

  • Psychiatry Physician
  • Katy, TX
National Provider Identifier
1316059595
Registry record updated Feb 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
K0444 Issued in TX
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

Updated by the provider on Feb 13, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
K0444TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

Verify at the official NPI Registry.