Individual provider Active NPI

Stacey G Warren, PHD

  • Psychologist
  • Langhorne, PA
National Provider Identifier
1619059367
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS015003 Issued in PA
Practice address
670 Woodbourne Rd
Suite 302
Langhorne, PA 19047
Phone
(215) 750-5525
Fax
(215) 750-5538
NPI assigned
Oct 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PS015003 PA
Psychologist 103T00000X PS015003 PA Primary

Addresses

Primary practice location

670 Woodbourne Rd
Suite 302
Langhorne, PA 19047

Mailing address

PO Box 215
Buckingham, PA 18912-0215
Phone (215) 750-5525

Other identifiers 3

IdentifierTypeStateIssuer
2000582000OtherINDEPENDENCE BLUE CROSS A
2323243000OtherPERSONAL CHOICE
2626143OtherAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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

Enrollment IDStateProvider typePAC IDDetails
I20150414002043 RI Practitioner - Clinical Psychologist 6103008511 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of Arizona College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neuropsychology Partners, IncGroup PAC ID 4981624244, 5 clinicians

Practice addresses (Care Compare)

450 Veterans Memorial Pkwy
Suite 8B
East Providence, RI 02914-5315
Phone (401) 529-4884

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Neuropsychology Partners, Inc Clinical Neuropsychologist CurrentSince Aug 1, 2016 Accepting new patients
Liberty Health Group PC Clinical Neuropsychologist PastSince Jul 1, 2014 Accepting new patients

Locations

450 Veterans Memorial Pkwy
Ste 8B
East Providence, RI 02914
Phone (401) 529-4884

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1619059367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 215",
            "city": "BUCKINGHAM",
            "state": "PA",
            "postal_code": "189120215",
            "telephone_number": "215-750-5525",
            "fax_number": "215-750-5538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 WOODBOURNE RD",
            "address_2": "SUITE 302",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "19047",
            "telephone_number": "215-750-5525",
            "fax_number": "215-750-5538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "STACEY",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "PA",
            "license": "PS015003",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS015003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS A",
            "identifier": "2000582000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE",
            "identifier": "2323243000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2626143",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Langhorne, PA

Sources for this page

Verify at the official NPI Registry.