Stephanie Lynn Stefanelli, PSY. D

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY27869 Issued in CA

Practice address

2050 Youth Way
BLDG 1
Fullerton, CA 92835-3819

Phone

(714) 871-9264

NPI assigned

Jun 25, 2013

Last updated

Apr 7, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Stephanie Lynn Gomez Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459987200000",
    "number": "1497194328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4851 TORIDA WAY",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928863635",
            "telephone_number": "951-252-4978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 YOUTH WAY",
            "address_2": "BLDG 1",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353819",
            "telephone_number": "714-871-9264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEFANELLI",
        "first_name": "STEPHANIE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "PSY. D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-25",
        "last_updated": "2016-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY27869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "GOMEZ",
            "middle_name": "LYNN",
            "credential": "PSY. D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Psychologist in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2016; 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.