John T Stephenson, PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PSY16157 Issued in CA

Practice address

24520 Hawthorne Blvd
Suite 220
Torrance, CA 90505-6800

Phone

(310) 428-6708

Fax

(310) 375-5262

NPI assigned

Jan 2, 2007

Last updated

Jun 11, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370908800000",
    "number": "1366509929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24520 HAWTHORNE BLVD",
            "address_2": "SUITE 220",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905056800",
            "telephone_number": "310-428-6708",
            "fax_number": "310-375-5262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24520 HAWTHORNE BLVD",
            "address_2": "SUITE 220",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905056800",
            "telephone_number": "310-428-6708",
            "fax_number": "310-375-5262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENSON",
        "first_name": "JOHN",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2013-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY16157",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY16157",
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "CA",
            "license": "PSY16157",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PSY161571",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen W McCann MD Inc
• Alexandria Chrystyne Stephens
• Claudia Stephens
• Haley Stephens, MD
• Daniel Robert Stephenson, MD
• Shannan Ann Stephenson, N.P.
• Emily Stephey
• Erin Rose Steponovich, MS, MFT
• David Howard Stern, M.D.
• Steve T. Yabuno DDS, PC

• Clinical Neuropsychologist in Torrance, CA
• Providers in Torrance, CA by specialty
• Clinical Neuropsychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2013; 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.