Active NPI
Phillip Thomas Stepka, PSY.D.
- Clinical Psychologist
- New Orleans, LA
National Provider Identifier
1417102179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1165
- Practice address
- 137 N Clark St
New Orleans, LA 70119-5207 - Phone
- (504) 444-3445
- NPI assigned
- Nov 22, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1165 | LA | Primary |
| Cognitive & Behavioral Psychologist | 103TB0200X | |||
| Family Psychologist | 103TF0000X | |||
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | |||
| Clinical Child & Adolescent Psychologist | 103TC2200X | |||
| Group Psychotherapy Psychologist | 103TP2701X |
Addresses
Primary practice location
137 N Clark St
New Orleans, LA 70119-5207
Mailing address
137 N Clark St
New Orleans, LA 70119-5207
Phone (504) 444-3445
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 1, 2025 through Jul 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1165 | LA | MD | Clinical Psychologist |
| 38987 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370390400000",
"number": "1417102179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "137 N CLARK ST",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701195207",
"telephone_number": "504-444-3445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "137 N CLARK ST",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701195207",
"telephone_number": "504-444-3445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPKA",
"first_name": "PHILLIP",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-11-22",
"last_updated": "2013-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "LA",
"license": "1165",
"primary": true
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TM1800X",
"taxonomy_group": "",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.