Active NPI
Brian Lee Stagg, ED.S.
- School Psychologist
- Visalia, CA
National Provider Identifier
1346654282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 3487
- Practice address
- 4126 S Demaree St Ste B
Visalia, CA 93277-9514 - Phone
- (559) 943-7076
- NPI assigned
- Jun 18, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-11-8934 | CA | |
| School Psychologist | 103TS0200X | 3487 | CA | Primary |
Addresses
Primary practice location
4126 S Demaree St Ste B
Visalia, CA 93277-9514
Mailing address
4126 S Demaree St Ste B
Visalia, CA 93277-9514
Phone (559) 943-7076
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 |
|---|---|---|---|
| 3487 | CA | MD | Pulmonary Function Technologist Certified Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430956800000",
"number": "1346654282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4126 S DEMAREE ST STE B",
"city": "VISALIA",
"state": "CA",
"postal_code": "932779514",
"telephone_number": "559-943-7076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4126 S DEMAREE ST STE B",
"city": "VISALIA",
"state": "CA",
"postal_code": "932779514",
"telephone_number": "559-943-7076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAGG",
"first_name": "BRIAN",
"middle_name": "LEE",
"name_prefix": "Mr.",
"credential": "ED.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-06-18",
"last_updated": "2015-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-11-8934",
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "CA",
"license": "3487",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Visalia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.