NPIMap

Organization Active NPI

Stephen C. Gill, PHD, PLLC

  • Psychologist
  • Sedona, AZ
National Provider Identifier
1386977270
Registry record updated Sep 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
STEPHEN C. GILL, PHD, PLLC
Practice address
70 Payne Place
Sedona, AZ 86336
Phone
(928) 282-5982
Fax
(928) 282-5983
NPI assigned
Sep 10, 2009
Last updated
Sep 10, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2009

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

Authorized official

Name
Dr. Stephen C. Gill, PH.D.NPI 1922071307
Title
Manager
Phone
(928) 282-5982

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X NU
Psychologist 103T00000X NU Primary
Clinical Psychologist 103TC0700X NU
Forensic Psychologist 103TF0200X NU

Addresses

Primary practice location

70 Payne Place
Sedona, AZ 86336

Mailing address

PO Box 4509
Sedona, AZ 86340-4509
Phone (928) 282-5982

National Provider Directory

National Provider Directory

Locations

1146 W State Route 89A
Sedona, AZ 86336
Phone (928) 282-5982

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1252540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252540800000",
    "number": "1386977270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4509",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863404509",
            "telephone_number": "928-282-5982",
            "fax_number": "928-282-5983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 PAYNE PLACE",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "86336",
            "telephone_number": "928-282-5982",
            "fax_number": "928-282-5983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN C. GILL, PHD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-10",
        "last_updated": "2009-09-10",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "928-282-5982",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sedona, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2009; 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.