Active NPI
Laura A Stoppelbein, PHD10
- Clinical Psychologist
- Birmingham, AL
National Provider Identifier
1467409938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 45723
- Practice address
- 150 Glenwood LN
Birmingham, AL 35242-5700 - Phone
- (205) 795-3225
- Fax
- (205) 795-3390
- NPI assigned
- May 28, 2006
- Last updated
- Aug 15, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 45723 | MS | Primary |
Addresses
Primary practice location
150 Glenwood LN
Birmingham, AL 35242-5700
Mailing address
150 Glenwood LN
Birmingham, AL 35242-5700
Phone (205) 795-3225
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00286791 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313366400000",
"number": "1467409938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 GLENWOOD LN",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352425700",
"telephone_number": "205-795-3225",
"fax_number": "205-795-3390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 GLENWOOD LN",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352425700",
"telephone_number": "205-795-3225",
"fax_number": "205-795-3390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOPPELBEIN",
"first_name": "LAURA",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "PHD10",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-28",
"last_updated": "2011-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MS",
"license": "45723",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00286791",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.