Active NPI
Alan Kirk Stage, PH.D
- Psychologist
- New Castle, IN
National Provider Identifier
1558609966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 20042625A
- Practice address
- 321 S Main St
New Castle, IN 47362-4218 - Phone
- (765) 529-3370
- NPI assigned
- Jan 18, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 20042625A | IN | Primary |
Addresses
Primary practice location
321 S Main St
New Castle, IN 47362-4218
Mailing address
321 S Main St
New Castle, IN 47362-4218
Phone (765) 529-3370
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20042625A | IN | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358467200000",
"number": "1558609966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 S MAIN ST",
"city": "NEW CASTLE",
"state": "IN",
"postal_code": "473624218",
"telephone_number": "765-529-3370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 S MAIN ST",
"city": "NEW CASTLE",
"state": "IN",
"postal_code": "473624218",
"telephone_number": "765-529-3370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAGE",
"first_name": "ALAN",
"middle_name": "KIRK",
"name_prefix": "Dr.",
"credential": "PH.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-01-18",
"last_updated": "2013-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "IN",
"license": "20042625A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Castle, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.