Active NPI
Darrell C Stiffey Jr.
- Clinical Psychologist
- Austin, TX
National Provider Identifier
1528378148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- NA
- Practice address
- 607 Rathervue PL
Austin, TX 78705-3127 - Phone
- (210) 365-7204
- NPI assigned
- Oct 16, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | NA | TX | Primary |
Addresses
Primary practice location
607 Rathervue PL
Austin, TX 78705-3127
Mailing address
607 Rathervue PL
Austin, TX 78705-3127
Phone (210) 365-7204
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287187200000",
"number": "1528378148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "607 RATHERVUE PL",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787053127",
"telephone_number": "210-365-7204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "607 RATHERVUE PL",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787053127",
"telephone_number": "210-365-7204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STIFFEY",
"first_name": "DARRELL",
"middle_name": "C",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-10-16",
"last_updated": "2010-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "NA",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.