Jeffery Harrison Stallings, L.L.P.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301009883 Issued in MI

Practice address

20303 Kelly Rd
Detroit, MI 48225-1206

Phone

(313) 245-7000

NPI assigned

Jan 28, 2014

Last updated

Jan 28, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1390867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390867200000",
    "number": "1619390689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "387 MORAN RD",
            "city": "GROSSE POINTE FARMS",
            "state": "MI",
            "postal_code": "482363444",
            "telephone_number": "313-882-6958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20303 KELLY RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482251206",
            "telephone_number": "313-245-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALLINGS",
        "first_name": "JEFFERY",
        "middle_name": "HARRISON",
        "name_prefix": "Mr.",
        "credential": "L.L.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-28",
        "last_updated": "2014-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301009883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerri M Stafford, CRNA
• Kimberly J Stafford, LPC
• Serah Stafford
• Lisa D. Stagner, D.O.
• Alexandra D Staley, MA, TLLP
• Stallworth Afc #1 Corporation (stallworth afc)
• Desmond E Stallworth, NCHW
• Perris J Stallworth
• Jessica Lynn Stamatis, PAC
• Michael John Stamey, DPM

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2014; 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.