Active NPI
Christy (Catherine) Matthews Stammen, PH.D.
- Clinical Psychologist
- Plano, TX
National Provider Identifier
1629127220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 31913
- Practice address
- 1700 Alma Dr
Suite 205
Plano, TX 75075-6937 - Phone
- (972) 509-2611
- Fax
- (972) 578-5742
- NPI assigned
- Jan 10, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 31913 | TX | Primary |
Addresses
Primary practice location
1700 Alma Dr
Suite 205
Plano, TX 75075-6937
Mailing address
1700 Alma Dr
Suite 205
Plano, TX 75075-6937
Phone (972) 509-2611
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 087136A | Other | TX | BC BS PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220606000337 | TX | Practitioner - Clinical Psychologist | 0547648412 | Practice locations: Plano, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1700 Alma Dr
Suite 205
Plano, TX 75075-6921
Phone 97250926113
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364947200000",
"number": "1629127220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 ALMA DR",
"address_2": "SUITE 205",
"city": "PLANO",
"state": "TX",
"postal_code": "750756937",
"telephone_number": "972-509-2611",
"fax_number": "972-578-5742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 ALMA DR",
"address_2": "SUITE 205",
"city": "PLANO",
"state": "TX",
"postal_code": "750756937",
"telephone_number": "972-509-2611",
"fax_number": "972-578-5742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAMMEN",
"first_name": "CHRISTY (CATHERINE)",
"middle_name": "MATTHEWS",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-10",
"last_updated": "2013-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "31913",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS PROVIDER NUMBER",
"identifier": "087136A",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Plano, TX
- Esther Rani Stalcup I, OWNER
- Jennifer R Stalkup, M.D.
- Natalie Ann Stamey, R.D., L.D.
- Stamford Apothecary LLC (Chelsea Pharmacy)
- Stamford Apothecary LLC (Chelsea Pharmacy)
- Patricia Ellen Stancliff, PHYSICIAL THERAPIST
- Stand Alone Anesthesia, Inc.
- Ewelina Weronika Stanek, PA-C
- Marissa Ermelinda Stanfill, LPC
- Annette Marie Stanislav, M.S., CCC/SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.