Active NPI
Valerie L Stephens PC
- Clinical Psychologist
- Mt Pleasant, MI
National Provider Identifier
1437227279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301007387
- Legal business name
- VALERIE L STEPHENS PC
- Practice address
- 110 N Kinney Avenue
Mt Pleasant, MI 48858 - Phone
- (989) 773-4836
- NPI assigned
- Dec 1, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Valerie L Stephens, PHD PC
- Title
- President
- Phone
- (989) 773-4836
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6301007387 | MI | Primary |
Addresses
Primary practice location
110 N Kinney Avenue
Mt Pleasant, MI 48858
Mailing address
110 N Kinney Avenue
Mt Pleasant, MI 48858
Phone (989) 773-4836
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 680C710250 | Other | MI | BCBS OF MI |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1345680000000",
"number": "1437227279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 N KINNEY AVENUE",
"city": "MT PLEASANT",
"state": "MI",
"postal_code": "48858",
"telephone_number": "989-773-4836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 N KINNEY AVENUE",
"city": "MT PLEASANT",
"state": "MI",
"postal_code": "48858",
"telephone_number": "989-773-4836"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALERIE L STEPHENS PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-01",
"last_updated": "2012-08-23",
"status": "A",
"authorized_official_last_name": "STEPHENS",
"authorized_official_first_name": "VALERIE",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "989-773-4836",
"authorized_official_credential": "PHD PC"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301007387",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MI",
"identifier": "680C710250",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mt Pleasant, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.