Individual provider Active NPI

Christy (Catherine) Matthews Stammen, PH.D.

  • Clinical Psychologist
  • Plano, TX
National Provider Identifier
1629127220
Registry record updated Apr 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
31913 Issued in TX
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

Updated by the provider on Apr 3, 2013

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 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

IdentifierTypeStateIssuer
087136AOtherTXBC 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

Sources for this page

Verify at the official NPI Registry.