Stephen Dixon Ross, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2542 Issued in CO

Practice address

6900 Alden Drive
Attn: 90 Mdos/Sgof-Fam HLTH
Fe Warren Afb, WY 82005-3913

Phone

(307) 773-3230

Fax

(866) 867-7926

NPI assigned

Oct 2, 2006

Sex

Male

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Che Senior Psychological Services, PCGroup PAC ID 8022905314, 227 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Che Senior Psychological Services, PC

  • Clinical Psychologist
  • Brooklyn, NY
  • NPI 1023078219
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372809600000",
    "number": "1386737146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 ALDEN DRIVE",
            "address_2": "ATTN: 90MDOS/SGOF - FAM HLTH",
            "city": "FE WARREN AFB",
            "state": "WY",
            "postal_code": "820053913",
            "telephone_number": "307-773-3230",
            "fax_number": "866-867-7926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 ALDEN DRIVE",
            "address_2": "ATTN: 90 MDOS/SGOF-FAM HLTH",
            "city": "FE WARREN AFB",
            "state": "WY",
            "postal_code": "820053913",
            "telephone_number": "307-773-3230",
            "fax_number": "866-867-7926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "STEPHEN",
        "middle_name": "DIXON",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2013-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "2542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55807828",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bradley Eugene Rausch, DDS
• Lauren Joann Redlinger, M.D.
• Ryan Christopher Reynolds, PHARMD
• Hans V Ritschard, PH.D.
• Gerald E Roettger, PT, DPT, CSCS
• Kendall Schwentker, PHARMD
• Ryan Kiel Shields, IDMT
• Kelly Smerling
• Cal Richard Smith, PA-C
• John Batterson Stetson V, MD PSYCHIATRIST

• Clinical Psychologist in Fe Warren Afb, WY
• Providers in Fe Warren Afb, WY by specialty
• Clinical Psychologist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.