Active NPI
Stephanie Elissa Everett, ED. S., NCSP
- School Psychologist
- Bend, OR
National Provider Identifier
1386504363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 516307
- Practice address
- 520 NW Wall St
Bend, OR 97703-2608 - Phone
- (541) 355-1000
- NPI assigned
- Nov 13, 2025
- Sex
- Female
- 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 | 516307 | OR | Primary |
Addresses
Primary practice location
520 NW Wall St
Bend, OR 97703-2608
Mailing address
520 NW Wall St
Bend, OR 97703-2608
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 |
|---|---|---|---|
| 516307 | OR | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762992000000",
"number": "1386504363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 NW WALL ST",
"city": "BEND",
"state": "OR",
"postal_code": "977032608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 NW WALL ST",
"city": "BEND",
"state": "OR",
"postal_code": "977032608",
"telephone_number": "541-355-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVERETT",
"first_name": "STEPHANIE",
"middle_name": "ELISSA",
"credential": "ED. S., NCSP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-11-13",
"last_updated": "2025-11-13",
"certification_date": "2025-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "OR",
"license": "516307",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.