Stephanie Angella Fidler, PSY. D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2004000217 Issued in MO

Practice address

3031 M 291 Frontage Rd
Independence, MO 64057-2334

Phone

(816) 373-9240

Fax

(816) 373-9243

NPI assigned

Jan 26, 2007

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

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Brian a FidlerGroup PAC ID 1254565054, 6 clinicians

Diakonos IncGroup PAC ID 1658323209, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Brian a Fidler

  dba Epic Counseling Group

  • Professional Counselor
  • Independence, MO
  • NPI 1346682994

  Clinical

  Medicare reassignment Care Compare group NPD
• Diakonos Inc

  dba Diakonos Counseling

  • Mental Health Counselor
  • Independence, MO
  • NPI 1164458931

  Clinical

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578619359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3031 M 291 FRONTAGE RD",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "64057",
            "telephone_number": "816-373-9240",
            "fax_number": "816-373-9243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3031 M 291 FRONTAGE RD",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640572334",
            "telephone_number": "816-373-9240",
            "fax_number": "816-373-9243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIDLER",
        "first_name": "STEPHANIE",
        "middle_name": "ANGELLA",
        "name_prefix": "Dr.",
        "credential": "PSY. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "2004000217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Nicole Feliz, DC
• Sierra Fellhoelter
• Hannah Ferguson, BCBA
• Ava M Ferreira, APRN, FNP-BC
• Alex Ferrell, MSN, APRN, ACNP
• Katherine Field, DO
• Brandon Fields, PHARMD
• Matthew Curtis Fieleke, M.D.
• Madelyn Christine Fiene
• Robin Fierge, PTA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.