Active NPI
Darlene a Stieber PHD PC
- Clinical Psychologist
- Holly, MI
National Provider Identifier
1619257524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301005948
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Clinical Social Worker
- Shelby Township, MI
- NPI 1881022119
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.