Active NPI
Stephanie Carol Setliff, MD
- Child & Adolescent Psychiatry Physician
- Plano, TX
National Provider Identifier
1487618120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- K9662
- Practice address
- 4716 Alliance Blvd
Suite 400
Plano, TX 75093-5371 - Phone
- (972) 476-0800
- Fax
- (972) 596-1916
- NPI assigned
- Apr 12, 2006
- 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 |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | K9662 | TX | Primary |
Addresses
Primary practice location
4716 Alliance Blvd
Suite 400
Plano, TX 75093-5371
Mailing address
4716 Alliance Blvd
Suite 400
Plano, TX 75093-5371
Phone (972) 476-0800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 045648501 | Medicaid | TX |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K9662 | TX | MD | Child & Adolescent Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411689600000",
"number": "1487618120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4716 ALLIANCE BLVD",
"address_2": "SUITE 400",
"city": "PLANO",
"state": "TX",
"postal_code": "750935371",
"telephone_number": "972-476-0800",
"fax_number": "972-596-1916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4716 ALLIANCE BLVD",
"address_2": "SUITE 400",
"city": "PLANO",
"state": "TX",
"postal_code": "750935371",
"telephone_number": "972-476-0800",
"fax_number": "972-596-1916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SETLIFF",
"first_name": "STEPHANIE",
"middle_name": "CAROL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-12",
"last_updated": "2014-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "TX",
"license": "K9662",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "045648501",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.