Individual provider Active NPI

Stephanie Debnath, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Pasadena, CA
National Provider Identifier
1548860166
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95020789 Issued in CA
Practice address
180 S Lake Ave Ste 615
Pasadena, CA 91101-4763
Phone
(626) 683-9158
Fax
(626) 683-9207
NPI assigned
Nov 1, 2020
Last updated
Jul 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95020789 CA Primary

Addresses

Primary practice location

180 S Lake Ave Ste 615
Pasadena, CA 91101-4763

Mailing address

5226 Del Moreno Dr
Woodland Hills, CA 91364-2428
Phone (626) 696-7554

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address stephanie@debnathnp.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230831000241 CA Practitioner - Nurse Practitioner 1759744238 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern California TMS Center IncGroup PAC ID 8628430741, 6 clinicians

Practice addresses (Care Compare)

180 S Lake Ave
Suite 615
Pasadena, CA 91101-4763
Phone (626) 683-9158

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California TMS Center Inc CurrentSince Jun 11, 2023 Accepting new patients

Locations

2045 Compton Ave
Ste 205
Corona, CA 92881

940 S Coast Dr
Ste 215
Costa Mesa, CA 92626

16055 Ventura Blvd
Ste 717
Encino, CA 91436
Phone (818) 215-0367

700 N Brand Blvd
Ste 460
Glendale, CA 91203
Phone (310) 488-0329

23832 Rockfield Blvd
Ste 130
Lake Forest, CA 92630
Phone (949) 297-6680

3605 Long Beach Blvd
Ste 306
Long Beach, CA 90807
Phone (562) 428-3266

3711 Long Beach Blvd
Ste 910
Long Beach, CA 90807

2100 Sawtelle Blvd
Ste 206
Los Angeles, CA 90025
Phone (310) 208-3348

4221 Wilshire Blvd
Ste 455
Los Angeles, CA 90010

180 S Lake Ave
Ste 615
Pasadena, CA 91101
Phone (626) 683-9158

711 W Kimberly Ave
Ste 100
Placentia, CA 92870

10630 Town Center Dr
Ste 129
Rancho Cucamonga, CA 91730

275 E Hillcrest Dr
Ste 125
Thousand Oaks, CA 91360

299 W Hillcrest Dr
Ste 113
Thousand Oaks, CA 91360

3655 Torrance Blvd
Ste 240
Torrance, CA 90503

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1604188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1548860166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5226 DEL MORENO DR",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642428",
            "telephone_number": "626-696-7554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 S LAKE AVE STE 615",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911014763",
            "telephone_number": "626-683-9158",
            "fax_number": "626-683-9207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBNATH",
        "first_name": "STEPHANIE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-01",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95020789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stephanie@debnathnp.com",
            "affiliation": "N",
            "endpointDescription": "HIPAA compliant email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "180 S Lake Ave Ste 615",
            "city": "Pasadena",
            "state": "CA",
            "country_code": "US",
            "postal_code": "911014763",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.