Whitney Jean Stilley, PSYD, LP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2011032531 Issued in MO

Practice address

230 N Belcrest Ave Ste a
Springfield, MO 65802-6287

Phone

(417) 413-4676

NPI assigned

Aug 8, 2011

Last updated

Aug 23, 2022By 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

Other identifiers 1

Other names 1

• Ms. Whitney Jean Miller Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1312761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1558640615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 E BRADFORD PKWY",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044264",
            "telephone_number": "417-761-5000",
            "fax_number": "417-761-5065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 N BELCREST AVE STE A",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658026287",
            "telephone_number": "417-413-4676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STILLEY",
        "first_name": "WHITNEY",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "PSYD, LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-08",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "2011032531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "496534702",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WHITNEY",
            "last_name": "MILLER",
            "middle_name": "JEAN",
            "prefix": "MS.",
            "credential": "M.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mark Edward Stewart, DO
• Sandra Stilgenbauer
• Still Point Counseling LLC
• Still Waters Counseling
• Glenna Dee Still, LPC, PSY.D.
• Andrea Shea Stillwell, LP
• Crystal Stillwell, NP
• Sharla Stillwell, PHARMD
• Carol M Stilson, LPC
• Melanie Lora Stinnett, CCC-SLP

• Clinical Psychologist in Springfield, MO
• Providers in Springfield, MO by specialty
• Clinical Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.