Organization Active NPI

Darlene a Stieber PHD PC

  • Clinical Psychologist
  • Holly, MI
National Provider Identifier
1619257524
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301005948 Issued in MI
Legal business name
DARLENE A STIEBER PHD PC
Practice address
7975 Pepper Road
Holly, MI 48442-8566
Phone
(586) 228-7562
Fax
(586) 207-1560
NPI assigned
Aug 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Authorized official

Name
April Gagala
Title
Office Manager/Biller
Phone
(586) 322-5717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 6301005948 MI Primary

Addresses

Primary practice location

7975 Pepper Road
Holly, MI 48442-8566

Mailing address

7975 Pepper Rd
Holly, MI 48442-8566
Phone (586) 207-1560

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120626000646 MI Part B Supplier - Clinic/Group Practice 4688839558 Receives reassigned benefits from 1 practitioner
Practice locations: Holly, MI

National Provider Directory

National Provider Directory

Locations

42627 Garfield Rd
Ste 216
Clinton Twp, MI 48038
Phone (586) 228-7562

42850 Garfield Rd
Ste 105
Clinton Twp, MI 48038
Phone (586) 228-7562

8076 21 Mile Rd
Shelby Township, MI 48317
Phone (248) 228-7562

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1314057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677542400000",
    "number": "1619257524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7975 PEPPER RD",
            "city": "HOLLY",
            "state": "MI",
            "postal_code": "484428566",
            "telephone_number": "586-207-1560",
            "fax_number": "586-207-1862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7975 PEPPER ROAD",
            "city": "HOLLY",
            "state": "MI",
            "postal_code": "484428566",
            "telephone_number": "586-228-7562",
            "fax_number": "586-207-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARLENE A STIEBER PHD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-23",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A",
        "authorized_official_last_name": "GAGALA",
        "authorized_official_first_name": "APRIL",
        "authorized_official_title_or_position": "OFFICE MANAGER/BILLER",
        "authorized_official_telephone_number": "586-322-5717"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301005948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holly, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.