Stephanie Stewart, LLP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6361002804 Issued in MI

Practice address

5148 Lovers LN
Suite 2
Portage, MI 49002-1572

Phone

(269) 343-3010

Fax

(269) 343-3017

NPI assigned

May 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Sandra Bowker and Associates, PLC

  • Clinical Neuropsychologist
  • Portage, MI
  • NPI 1609021369
  NPD (past) Authorized official

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591833600000",
    "number": "1386694909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5148 LOVERS LN",
            "address_2": "SUITE 2",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490021572",
            "telephone_number": "269-343-3010",
            "fax_number": "269-343-3017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5148 LOVERS LN",
            "address_2": "SUITE 2",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490021572",
            "telephone_number": "269-343-3010",
            "fax_number": "269-343-3017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "STEPHANIE",
        "credential": "LLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6361002804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "P108927600",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven G. Townsend
• Steven S. Ellinger, OD, PLC
• Jeffrey M Stevens, D.O.
• Mark Joseph Stevenson, D.D.S
• Stewart Psychological Services, PLC
• Tami Coleen Stingley, LMT
• Mary Lucille Stoddard, L.P.C.
• Ashley Marie Stoehr, PA
• Aaliyah Stokes
• Tara Ann Stolnicki, RN

• Psychologist in Portage, MI
• Providers in Portage, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; 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.