Individual provider Active NPI

Jeanne Marie Steffen, PH.D.

  • Psychologist
  • Chapel Hill, NC
National Provider Identifier
1386760569
Registry record updated Dec 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
5395 Issued in NC
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

Updated by the provider on Dec 21, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
PSY-202318IDMDCounseling Psychologist
5395NCMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.