Stacy A Solheim, D.O.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

962 Issued in NE

Practice address

Wright Patterson Medical Center - 88 Mdos/Sgow
4881 Sugar Maple Ave
Wpafb, OH 45433-5529

Phone

(937) 257-6877

NPI assigned

Sep 20, 2010

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524528000000",
    "number": "1477861862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S EDWIN C MOSES BLVD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454173424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WRIGHT PATTERSON MEDICAL CENTER - 88 MDOS/SGOW",
            "address_2": "4881 SUGAR MAPLE AVE",
            "city": "WPAFB",
            "state": "OH",
            "postal_code": "454335529",
            "telephone_number": "937-257-6877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLHEIM",
        "first_name": "STACY",
        "middle_name": "A",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-20",
        "last_updated": "2018-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NE",
            "license": "962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy David Simmons, MD
• Kaela Maki Skerl, LPCC
• John Albert Smith, AGCNS-BC, CMSRN-BC
• Joshua Taylor Smith, DDS
• Ryan R Smithers, FNP
• Teresa Dawn Soulati, RPH, BS PHARM
• Joe David Sparks, DMD
• Kendyl Spence
• Spencer Stanford, DO
• Stephanie Gabrielle Stanley, DO

• Child & Adolescent Psychiatry Physician in Wpafb, OH
• Providers in Wpafb, OH by specialty
• Child & Adolescent Psychiatry Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.