Angela Michelle Stebbins, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301019181 Issued in MI

Practice address

1401 Presque Isle Ave
Marquette, MI 49855-2818

Phone

(906) 227-2980

Fax

(855) 727-4855

NPI assigned

Dec 3, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Angela Michelle Hanchett Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1291334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1609178193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4305 N LINCOLN AVE",
            "address_2": "STE M",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606181807",
            "telephone_number": "872-216-7743",
            "fax_number": "855-727-4855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 PRESQUE ISLE AVE",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498552818",
            "telephone_number": "906-227-2980",
            "fax_number": "855-727-4855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEBBINS",
        "first_name": "ANGELA",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-03",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WI",
            "license": "3154-57",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301019181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "HANCHETT",
            "middle_name": "MICHELLE",
            "credential": "PSY.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Megan Nicole Stasevich, RN, CPHT
• State of Michigan
• State of Michigan
• State of Michigan Office of Financial Management
• Kelsey Allison Stauber, OTRL
• Joseph Steele, M.D.
• Lize Stefanac, MD
• Paul Stefanac, DPT
• Katie Steinbrecher
• Gabrielle Margaret Steinhoff, MSW, LLMSW, LGSW

• Psychologist in Marquette, MI
• Providers in Marquette, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; 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.