Andrew Michael Stewart, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY15180 Issued in CA

Practice address

1460 7TH St Ste 206
Santa Monica, CA 90401-2631

Phone

(310) 702-7961

NPI assigned

Jan 11, 2007

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Pacific Resources Psychological Group

  • Group Psychotherapy Psychologist
  • Long Beach, CA
  • NPI 1679665939
  NPD (past)

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1528118700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 7TH ST STE 206",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904012631",
            "telephone_number": "310-702-7961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 7TH ST STE 206",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904012631",
            "telephone_number": "310-702-7961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "ANDREW",
        "middle_name": "MICHAEL",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY15180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137878",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PSY151800",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven Vasilev, M.D., P.C.
• Denise Lee Stevens, L.AC.
• Steward of Mental Wealth, P.C.
• Steward of Mental Wealth, P.C.
• Stewart Psychological Wellness Group, Inc
• Daniel Stewart
• Daniel Stewart, MA,L MFT
• Edith Virginia Stewart, PH.D.
• John Michael Stewart, MD PHD
• Karen M Stewart, PSY. D

• Clinical Psychologist in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.