Jonathan R Stevens, M.D., M.P.H.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

ME156839 Issued in FL

Practice address

19 Briar Hollow LN
Suite 120
Houston, TX 77027

Phone

(844) 746-7444

Fax

(866) 502-3265

NPI assigned

May 4, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Feb 1, 2016 through Feb 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Innerspace PLLC

  • Child & Adolescent Psychiatry Physician
  • Houston, TX
  • NPI 1083360069
  NPD
• Family First Outpatient Services

  • Psychiatric Residential Treatment Facility
  • West Palm Beach, FL
  • NPI 1306486162
  NPD (past)
• Family First Outpatient Services

  • Children's Substance Abuse Rehabilitation Facility
  • Palm Beach Gardens, FL
  • NPI 1447668645
  NPD (past)
• NSPG Billing LLC

  • Urology Physician
  • Newburyport, MA
  • NPI 1144981721
  NPD (past)

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1396793493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 BRIAR HOLLOW LN",
            "address_2": "SUITE 120",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77027",
            "telephone_number": "844-746-7444",
            "fax_number": "866-502-3265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 BRIAR HOLLOW LN",
            "address_2": "SUITE 120",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77027",
            "telephone_number": "844-746-7444",
            "fax_number": "866-502-3265"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Village Square Xing Ste 101",
            "address_purpose": "LOCATION",
            "city": "Palm Beach Gardens",
            "state": "FL",
            "postal_code": "334104532",
            "country_code": "US",
            "telephone_number": "561-328-7370",
            "fax_number": "561-828-0783",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2100 Cove Ln",
            "address_purpose": "LOCATION",
            "city": "North Palm Beach",
            "state": "FL",
            "postal_code": "334082727",
            "country_code": "US",
            "telephone_number": "561-328-7370",
            "fax_number": "561-828-0783",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14327 69th Dr N",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334187240",
            "country_code": "US",
            "telephone_number": "561-328-7370",
            "fax_number": "561-828-0783",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "JONATHAN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "227805",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME156839",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "FL",
            "license": "ME156839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily A Stevens, OTR
• Gowri Srinivas Stevens, M.D
• Jayne Alison Stevens, LPC-ASSOCIATE
• Jill Johnson Stevens, LPC
• Jillian Nichol Stevens, LPC
• Kelli O Stevens, D.P.M.
• Lynn Stevens
• Stephanie Faye Stevens
• Thomas Lloyd Stevens, MA, LPC, RPT
• Tobey Alan Stevens, M.D.

• Child & Adolescent Psychiatry Physician in Houston, TX
• Providers in Houston, TX by specialty
• Child & Adolescent Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.