Edward M Stephens, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

NYMD107339 Issued in NY

Practice address

12 Windward Ave
White Plains, NY 10605-5307

Phone

(914) 686-9075

Fax

(212) 737-8279

NPI assigned

Sep 29, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Montefiore Mount Vernon Hospital

  • General Acute Care Hospital
  • Mount Vernon, NY
  • NPI 1013345065
  NPD
• Nyc Psychiatric Associates

  • Psychiatry Physician
  • New York, NY
  • NPI 1447850276
  NPD (past)

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298505600000",
    "number": "1487746111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 WINDWARD AVE",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106055307",
            "telephone_number": "914-686-9075",
            "fax_number": "212-737-8279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 WINDWARD AVE",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106055307",
            "telephone_number": "914-686-9075",
            "fax_number": "212-737-8279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "EDWARD",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2011-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "NYMD107339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "113428",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "674702",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Berdj H Stepanian, DPM
• Kristina Stephano, LCSW-R
• Stephen E. Kohn LCSW P.C.
• Elizabeth Stephen
• Kristelle Ashley Stephen
• Stepping Stones
• Steps in Home Care, Inc
• Sterling Care Homecare Services LLC
• Joanna Stern, PSY.D.
• Sarah Emily Stern, PH.D.

• Psychiatry Physician in White Plains, NY
• Providers in White Plains, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.