Mickael John Stephens, BS

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

Practice address

707 College St
Clinton, NC 28328-3503

Phone

(910) 592-4507

NPI assigned

May 27, 2018

Last updated

May 27, 2018By the provider in NPPES

Sex

Male

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)

Not enrolled

Credentials

Bachelor of Science

Practice roles

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.

• Family First Support Center Inc

  • Community/Behavioral Health Agency
  • Clinton, NC
  • NPI 1417123159
  NPD (past)

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

{
    "created_epoch": "1527379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527379200000",
    "number": "1578054425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S CENTER ST",
            "city": "MOUNT OLIVE",
            "state": "NC",
            "postal_code": "283652124",
            "telephone_number": "919-635-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 COLLEGE ST",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283283503",
            "telephone_number": "910-592-4507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "MICKAEL",
        "middle_name": "JOHN",
        "credential": "BS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-27",
        "last_updated": "2018-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Speech and Language Rehabilitation Services, Inc.
• Ashley Brown Spell, PHARMD
• Lauren Preddy Spell, OTD, OTR/L
• Toni Victoria Spell, LCMHC-A
• Robert Thomas Stagnitta
• Veronica Frederick Stevens, FNP
• Gaye Sullinger
• Shane Megan Sundlie, MD
• John Peeler Surratt, MD
• Adam Sutphin

• Assistant Behavior Analyst in Clinton, NC
• Providers in Clinton, NC by specialty
• Assistant Behavior Analyst in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2018; 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.