Stephen C McConnell, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2838 Issued in OH

Practice address

1020 Woodman Drive
Suite 300
Dayton, OH 45432

Phone

(937) 424-0617

Fax

(937) 424-0632

NPI assigned

Aug 2, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Baylor College of Medicine, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

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.

• Namchi Le MD LLC

  • Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
  • Dayton, OH
  • NPI 1518486653
  NPD (past)
• University Psychological Services Association

  • Clinical Psychologist
  • Dayton, OH
  • NPI 1760483135
  NPD (past)
• Wellcare Home Health Inc

  • Home Health Agency
  • Dayton, OH
  • NPI 1538228663
  NPD (past)
• Wright State Physicians Inc

  • Family Medicine Physician
  • Dayton, OH
  • NPI 1114920329
  NPD (past)

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332460800000",
    "number": "1427059492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 WOODMAN DRIVE",
            "address_2": "SUITE 300",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45432",
            "telephone_number": "937-424-0617",
            "fax_number": "937-424-0632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 WOODMAN DRIVE",
            "address_2": "SUITE 300",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45432",
            "telephone_number": "937-424-0617",
            "fax_number": "937-424-0632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCONNELL",
        "first_name": "STEPHEN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2012-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "2838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isaiah McCombs, AGACNP-BC
• Angela M McConkey, CASE MANAGER
• Ashley Lee McConnaha, CNP
• Kiara Cheyenne McConnaughey, LPN
• Carla C. McConnell, L.I.C.D.C., L.S.W.
• Barry S McCorkle, MD
• Michael S McCorkle, CDCA
• Sherryl Lynn McCorkle, CDCA
• Anita Louise McCormick, RN
• Kiersten McCormick

• Clinical Psychologist in Dayton, OH
• Providers in Dayton, OH by specialty
• Clinical Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2012; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.