Active NPI
Cheyne Stresky
- School Psychologist
- Oxford, MI
National Provider Identifier
1366092298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- S362115676167
- Practice address
- 945 Watersedge CT
Oxford, MI 48371-3682 - Phone
- (248) 464-2408
- NPI assigned
- Sep 12, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | S362115676167 | MI | Primary |
Addresses
Primary practice location
945 Watersedge CT
Oxford, MI 48371-3682
Mailing address
945 Watersedge CT
Oxford, MI 48371-3682
Phone (248) 464-2408
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| XYW916973978 | Other | MI | 9101000021 |
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 |
|---|---|---|---|
| S362115676167 | MI | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568246400000",
"number": "1366092298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "945 WATERSEDGE CT",
"city": "OXFORD",
"state": "MI",
"postal_code": "483713682",
"telephone_number": "248-464-2408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "945 WATERSEDGE CT",
"city": "OXFORD",
"state": "MI",
"postal_code": "483713682",
"telephone_number": "248-464-2408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRESKY",
"first_name": "CHEYNE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-09-12",
"last_updated": "2019-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "MI",
"license": "S362115676167",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "9101000021",
"identifier": "XYW916973978",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oxford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.