Active NPI
Jamie Lee Stashko, PSY.D.
- Clinical Psychologist
- Apex, NC
National Provider Identifier
1477898724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 5063
- Practice address
- 201 S Salem St
Apex, NC 27502-1824 - Phone
- (919) 303-0377
- Fax
- (919) 267-6173
- NPI assigned
- Nov 27, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | |||
| Clinical Psychologist | 103TC0700X | 5063 | NC | Primary |
Addresses
Primary practice location
201 S Salem St
Apex, NC 27502-1824
Mailing address
201 S Salem St
Apex, NC 27502-1824
Phone (919) 303-0377
Other practice location 1
275 Belmont St
Worcester, MA 01604-1675
Phone (508) 421-4494
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Aug 19, 2024 through Aug 19, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5063 | NC | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Child and Family Psychological Services, PLLC | Psychologist | Past | Accepting new patients |
| Peak Development Associates | Psychologist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Psychologist
- Apex, NC
- NPI 1861881476
-
- Psychologist
- Norwood, MA
- NPI 1912987181
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1477898724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 S SALEM ST",
"city": "APEX",
"state": "NC",
"postal_code": "275021824",
"telephone_number": "919-303-0377",
"fax_number": "919-267-6173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 S SALEM ST",
"city": "APEX",
"state": "NC",
"postal_code": "275021824",
"telephone_number": "919-303-0377",
"fax_number": "919-267-6173"
}
],
"practiceLocations": [
{
"address_1": "275 Belmont St",
"address_purpose": "LOCATION",
"city": "Worcester",
"state": "MA",
"postal_code": "016041675",
"country_code": "US",
"telephone_number": "508-421-4494",
"fax_number": "508-795-1338",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STASHKO",
"first_name": "JAMIE",
"middle_name": "LEE",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-27",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "5063",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Apex, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.