Active NPI
Jeanne Marie Steffen, PH.D.
- Psychologist
- Chapel Hill, NC
National Provider Identifier
1386760569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 5395
- Practice address
- 6110 Falconbridge Rd Ste 100
Chapel Hill, NC 27517-7875 - Phone
- (919) 401-9933
- Fax
- (919) 402-0249
- NPI assigned
- Mar 21, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 5395 | NC | Primary |
| Counseling Psychologist | 103TC1900X | PSY-202318 | ID |
Addresses
Primary practice location
6110 Falconbridge Rd Ste 100
Chapel Hill, NC 27517-7875
Mailing address
1112 Kudzu St
Durham, NC 27713-2573
Phone (208) 596-5947
Other practice location 1
2301 W A St
Suite C
Moscow, ID 83843-4042
Phone (208) 883-1144
Other practice location 2
18 W Colony Pl Ste 280
Durham, NC 27705-5582
Phone (919) 493-2674
Other names 1
- Jeanne Marie Bulgin
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY-202318 | ID | MD | Counseling Psychologist |
| 5395 | NC | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Counseling Services, Inc. | Past | Accepting new patients | |
| Obesity and Quality of Life Consulting, PLLC | Psychologist | Past | Accepting new patients |
| Educational and Psychological Services, a P.L.L.C. | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Clinical Psychologist
- Durham, NC
- NPI 1710017215
-
- Psychologist
- Durham, NC
- NPI 1639344823
-
- Clinical Psychologist
- Moscow, ID
- NPI 1447303870
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545350400000",
"number": "1386760569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1112 KUDZU ST",
"city": "DURHAM",
"state": "NC",
"postal_code": "277132573",
"telephone_number": "208-596-5947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6110 FALCONBRIDGE RD STE 100",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275177875",
"telephone_number": "919-401-9933",
"fax_number": "919-402-0249"
}
],
"practiceLocations": [
{
"address_1": "2301 W A St",
"address_2": "Suite C",
"address_purpose": "LOCATION",
"city": "Moscow",
"state": "ID",
"postal_code": "838434042",
"country_code": "US",
"telephone_number": "208-883-1144",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "18 W Colony Pl Ste 280",
"address_purpose": "LOCATION",
"city": "Durham",
"state": "NC",
"postal_code": "277055582",
"country_code": "US",
"telephone_number": "919-493-2674",
"fax_number": "919-493-1923",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEFFEN",
"first_name": "JEANNE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-21",
"last_updated": "2018-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "5395",
"primary": true
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "ID",
"license": "PSY-202318",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JEANNE",
"last_name": "BULGIN",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Chapel Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.