Organization Active NPI

Stephanie a Stowman, PHD

  • Clinical Psychologist
  • Las Vegas, NV
National Provider Identifier
1417200262
Registry record updated Jul 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY0623 Issued in NV
Legal business name
STEPHANIE A STOWMAN, PHD
Practice address
4055 Spencer St
Suite 126
Las Vegas, NV 89119-9303
Phone
(702) 690-5943
NPI assigned
Oct 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2013

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

Authorized official

Name
Dr. Stephanie A Stowman, PHDNPI 1750615886
Title
Psychologist
Phone
(702) 279-3294

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PY0623 NV Primary

Addresses

Primary practice location

4055 Spencer St
Suite 126
Las Vegas, NV 89119-9303

Mailing address

11176 Montagne Marron Blvd
Las Vegas, NV 89141-3870
Phone (702) 690-5943

National Provider Directory

National Provider Directory

Locations

4055 Spencer St
Ste 126
Las Vegas, NV 89119
Phone (702) 690-5983

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1350432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374105600000",
    "number": "1417200262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11176 MONTAGNE MARRON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891413870",
            "telephone_number": "702-690-5943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4055 SPENCER ST",
            "address_2": "SUITE 126",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891199303",
            "telephone_number": "702-690-5943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHANIE A STOWMAN, PHD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-17",
        "last_updated": "2013-07-18",
        "status": "A",
        "authorized_official_last_name": "STOWMAN",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "702-279-3294",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NV",
            "license": "PY0623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2013; 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.