Diane Stephenson, PH D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071004319 Issued in IL

Practice address

1101 Lake St
Ste 405H
Oak Park, IL 60301-1071

Phone

(708) 524-9513

Fax

(630) 604-1115

NPI assigned

Jan 22, 2007

Last updated

May 17, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463443200000",
    "number": "1558415034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 ONTARIO ST",
            "address_2": "APT 3C",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021938",
            "telephone_number": "708-302-5716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 LAKE ST",
            "address_2": "STE 405H",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011071",
            "telephone_number": "708-524-9513",
            "fax_number": "630-604-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENSON",
        "first_name": "DIANE",
        "name_prefix": "Dr.",
        "credential": "PH D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2016-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071004319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hal Stein, FNP-C, D.C.
• Sanna Stella, LCPC, NCC
• Sara C Stepanovich, LSW
• Mona Stepansky, PH.D.
• Susan Stephens, LCSW
• Javea Stepney
• Dean S Stern, DPM
• Debra Ann Stern, LCSW LMFT
• Lauren Stern, LCSW
• Sara Holly Stern, OTR/L

• Clinical Psychologist in Oak Park, IL
• Providers in Oak Park, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.