Organization Active NPI

Stephanie M. Hadley

  • Behavior Analyst
  • Chesapeake, VA
National Provider Identifier
1588175137
Registry record updated Oct 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
0133000385 Issued in VA
Legal business name
STEPHANIE M. HADLEY
Practice address
933 Northwood Dr
Chesapeake, VA 23322-8723
Phone
(757) 777-6652
Fax
(303) 262-6901
NPI assigned
Oct 22, 2017
Last updated
Oct 22, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
STEPHANIE M. HADLEYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 22, 2017

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

Authorized official

Name
Ms. Stephanie Michelle Hadley, BCBA
Title
Behavior Analyst
Phone
(757) 777-6652

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 0133000385 VA Primary

Addresses

Primary practice location

933 Northwood Dr
Chesapeake, VA 23322-8723

Mailing address

933 Northwood Dr
Chesapeake, VA 23322-8723
Phone (757) 777-6652

Other identifiers 1

IdentifierTypeStateIssuer
1174810154OtherOTHER EMPLOYEE NPI

National Provider Directory

National Provider Directory
Tax ID family
Stephanie M Hadley2 organizations share this tax ID, including this one
Part of
Stephanie M Hadley

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1508630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508630400000",
    "number": "1588175137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 NORTHWOOD DR",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233228723",
            "telephone_number": "757-777-6652",
            "fax_number": "303-262-6901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 NORTHWOOD DR",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233228723",
            "telephone_number": "757-777-6652",
            "fax_number": "303-262-6901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHANIE M. HADLEY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STEPHANIE M. HADLEY",
        "enumeration_date": "2017-10-22",
        "last_updated": "2017-10-22",
        "status": "A",
        "authorized_official_last_name": "HADLEY",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "757-777-6652",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0133000385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER EMPLOYEE NPI",
            "identifier": "1174810154",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2017; 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.