Individual provider Active NPI

Audrey Hunt Stevens, PSYD

  • Clinical Psychologist
  • Midland, TX
National Provider Identifier
1447017124
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
39895 Issued in TX
Practice address
301 N N St Ofc G109
Midland, TX 79701-6404
Phone
(432) 620-5800
NPI assigned
Feb 29, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 39895 TX Primary
Health Psychologist 103TH0004X 39895 TX

Addresses

Primary practice location

301 N N St Ofc G109
Midland, TX 79701-6404

Mailing address

701 W 5TH St Ofc 3197
Odessa, TX 79763-4206

Other practice location 1

701 W 5th St Ofc 3197
Odessa, TX 79763-4206
Phone (432) 703-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20241218001879 TX Practitioner - Clinical Psychologist 5294262036 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Tech University Health Sciences Center OdessaGroup PAC ID 8426044256, 58 clinicians

Practice addresses (Care Compare)

701 W 5TH St
Suite 3142
Odessa, TX 79763-4206
Phone (432) 335-2222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
39895TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Tech University Health Sciences Center Odessa CurrentSince Dec 13, 2024 Accepting new patients

Locations

301 N N St
Ste 155F
Midland, TX 79701

301 N N St
Ofc G109
Midland, TX 79701
Phone (432) 620-5800

301 N N St
Midland, TX 79701
Phone (432) 620-5800

701 W 5th St
Odessa, TX 79763
Phone (432) 335-2222

701 W 5th St
Ofc 3197
Odessa, TX 79763
Phone (432) 703-5200

701 W 5th St
#3142
Odessa, TX 79763
Phone (432) 335-2222

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1709164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1447017124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 W 5TH ST OFC 3197",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797634206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N N ST OFC G109",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797016404",
            "telephone_number": "432-620-5800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 W 5th St Ofc 3197",
            "address_purpose": "LOCATION",
            "city": "Odessa",
            "state": "TX",
            "postal_code": "797634206",
            "country_code": "US",
            "telephone_number": "432-703-5200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "AUDREY",
        "middle_name": "HUNT",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-29",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "39895",
            "primary": true
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "TX",
            "license": "39895",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

Verify at the official NPI Registry.