Stephan M Becker MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

STEPHAN M BECKER MD

Practice address

2650 Executive Park NW
Suite 3
Cleveland, TN 37312-2746

Phone

(423) 473-2633

Fax

(423) 473-2643

NPI assigned

Jul 11, 2012

Organization subpart

No

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

Authorized official

Name

Stephan M Becker, MDNPI 1063678795

Title

Owner

Phone

(423) 473-2633

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephan Max Becker, M.D.

  • Psychiatry Physician
  • Cleveland, TN
  • NPI 1063678795
  NPD (past) Authorized official

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

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341964800000",
    "number": "1386909760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 EXECUTIVE PARK NW",
            "address_2": "SUITE 3",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373122746",
            "telephone_number": "423-473-2633",
            "fax_number": "423-473-2643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 EXECUTIVE PARK NW",
            "address_2": "SUITE 3",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373122746",
            "telephone_number": "423-473-2633",
            "fax_number": "423-473-2643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHAN M BECKER MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-11",
        "last_updated": "2012-07-11",
        "status": "A",
        "authorized_official_last_name": "BECKER",
        "authorized_official_first_name": "STEPHAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-473-2633",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dedra Spradling, M.A.
• Lee Ann Stabler, CNM
• Staffco of Eastern Tennessee, LLC.
• John S Stanbery, DDS
• Sarah Chayil Stath
• Stephen V. Dreskin MD PC
• Victoria Stepp, DNP, APRN, FNP-C
• Robert A Stetson Jr., MD
• Jessi Marri Steve, FNP
• Tammey An Stevison, RN

• Psychiatry Physician in Cleveland, TN
• Providers in Cleveland, TN by specialty
• Psychiatry Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2012; 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.