Active NPI
Stephen Charles Billingham, PHD
- Psychologist
- Madison, WI
National Provider Identifier
1316963994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2011-57
- Practice address
- 313 Price PL Ste 10
Madison, WI 53705-3250 - Phone
- (608) 231-3300
- NPI assigned
- Jul 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | 2011-57 | WI | |
| Health Service Psychologist | 103TH0100X | 2011-57 | WI | |
| Psychologist | 103T00000X | 2011-57 | WI | Primary |
Addresses
Primary practice location
313 Price PL Ste 10
Madison, WI 53705-3250
Mailing address
313 Price PL Ste 10
Madison, WI 53705-3250
Phone (608) 231-3300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39135700 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2011-57 | WI | MD | Psychologist |
| 2011 | WI | MD | Physician Assistant |
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.
-
- Clinical Social Worker
- Madison, WI
- NPI 1437221686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581984000000",
"number": "1316963994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "313 PRICE PL STE 10",
"city": "MADISON",
"state": "WI",
"postal_code": "537053250",
"telephone_number": "608-231-3300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "313 PRICE PL STE 10",
"city": "MADISON",
"state": "WI",
"postal_code": "537053250",
"telephone_number": "608-231-3300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BILLINGHAM",
"first_name": "STEPHEN",
"middle_name": "CHARLES",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-15",
"last_updated": "2020-02-18",
"certification_date": "2020-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "WI",
"license": "2011-57",
"primary": false
},
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "WI",
"license": "2011-57",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WI",
"license": "2011-57",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "39135700",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.