Stephens Psychological Services

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

LP3384 Issued in MN

Legal business name

STEPHENS PSYCHOLOGICAL SERVICES

Practice address

3829 Washburn Ave S
Minneapolis, MN 55410-1129

Phone

(612) 251-7413

Fax

(612) 927-7425

NPI assigned

Jun 7, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Carol M Stephens, PSY. D, LPNPI 1588732598

Title

Owner

Phone

(612) 251-7413

Specialties & licenses 1

Addresses

Other names 1

• Carol Stephens Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carol Margaret Stephens, LP

  • Clinical Psychologist
  • Edina, MN
  • NPI 1588732598
  NPD (past) Authorized official

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

{
    "created_epoch": "1339027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348790400000",
    "number": "1578824330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3829 WASHBURN AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554101129",
            "telephone_number": "612-251-7413",
            "fax_number": "612-927-7425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3829 WASHBURN AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554101129",
            "telephone_number": "612-251-7413",
            "fax_number": "612-927-7425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHENS PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-07",
        "last_updated": "2012-09-28",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-251-7413",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY. D, LP"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP3384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carol Stephens",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Megan Stephan, P.A.-C
• Tierza Maria Stephan, MD
• Nichole Leigh Stephane, R.PH.
• Stephen G Sinykin DDS PA (Doorstep Dental Service)
• Jenise Stephen, PHARMD
• Angela Stephens
• Callista Joanne Stephens, MA, LPCC, LADC
• Claire Pauline Stephens
• Jherika B Stephens
• Aletha Stephenson, CRNP

• Clinical Psychologist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2012; 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.