Individual provider Active NPI

Jennifer J Stoeckel, PH.D.

  • Clinical Psychologist
  • Cincinnati, OH
National Provider Identifier
1619908894
Registry record updated Feb 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4713 Issued in OH
Practice address
375 Glensprings Dr
Suite 300
Cincinnati, OH 45246-2316
Phone
(513) 825-6600
Fax
(513) 825-6696
NPI assigned
Jul 5, 2006
Last updated
Feb 12, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 4713 OH Primary

Addresses

Primary practice location

375 Glensprings Dr
Suite 300
Cincinnati, OH 45246-2316

Mailing address

375 Glensprings Dr
Suite 300
Cincinnati, OH 45246-2316
Phone (513) 825-6600

Other identifiers 1

IdentifierTypeStateIssuer
0151624MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4713OHMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Farrellco Inc Clinical CurrentSince Nov 2, 2013 Accepting new patients

Locations

375 Glensprings Dr
Ste 300
Cincinnati, OH 45246
Phone (513) 825-6600

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392163200000",
    "number": "1619908894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 GLENSPRINGS DR",
            "address_2": "SUITE 300",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452462316",
            "telephone_number": "513-825-6600",
            "fax_number": "513-825-6696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 GLENSPRINGS DR",
            "address_2": "SUITE 300",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452462316",
            "telephone_number": "513-825-6600",
            "fax_number": "513-825-6696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOECKEL",
        "first_name": "JENNIFER",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2014-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "4713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0151624",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.