Individual provider Active NPI

Deborah A Stec, PHD

  • Psychologist
  • Waukesha, WI
National Provider Identifier
1427278498
Registry record updated Feb 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2056 Issued in WI
Practice address
2717 N Grandview Blvd Ste 202
Waukesha, WI 53188-1660
Phone
(262) 513-0700
NPI assigned
May 1, 2007
Last updated
Feb 2, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2056 WI Primary

Addresses

Primary practice location

2717 N Grandview Blvd Ste 202
Waukesha, WI 53188-1660

Mailing address

2717 N Grandview Blvd Ste 202
Waukesha, WI 53188-1660
Phone (262) 513-0700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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

Enrollment IDStateProvider typePAC IDDetails
I20091001000348 WI Practitioner - Clinical Psychologist 1254477474 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2717 N Grandview Blvd
Waukesha, WI 53188-1660
Phone 2625130700231

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2056WIMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Deborah a Stec PHD Inc CurrentSince Aug 1, 2009 Accepting new patients

Locations

2717 N Grandview Blvd
Ste 202
Waukesha, WI 53188
Phone (262) 513-0700

2717 N Grandview Blvd
Waukesha, WI 53188
Phone (262) 549-6649

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422835200000",
    "number": "1427278498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 N GRANDVIEW BLVD STE 202",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531881660",
            "telephone_number": "262-513-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2717 N GRANDVIEW BLVD STE 202",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531881660",
            "telephone_number": "262-513-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEC",
        "first_name": "DEBORAH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2015-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WI",
            "license": "2056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukesha, WI

Sources for this page

Verify at the official NPI Registry.