Active NPI
David Jeffrey Stephens, PSY.D.
- Clinical Neuropsychologist
- Colorado Springs, CO
National Provider Identifier
1629301429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- Practice address
- 402 Garden of the Gods Rd
Colorado Springs, CO 80907 - Phone
- (719) 571-9590
- NPI assigned
- Sep 10, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2411 | CO | |
| Clinical Psychologist | 103TC0700X | 482 | WY | |
| Clinical Neuropsychologist | 103G00000X | Primary |
Addresses
Primary practice location
402 Garden of the Gods Rd
Colorado Springs, CO 80907
Mailing address
402 Garden of the Gods Rd
Colorado Springs, CO 80907-4218
Phone (719) 571-9590
Other practice location 1
501 W Buffalo St
Rawlins, WY 82301-5622
Phone (573) 590-4638
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2411 | CO | MD | Addiction (Substance Use Disorder) Counselor |
| 482 | WY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532476800000",
"number": "1629301429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 GARDEN OF THE GODS RD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809074218",
"telephone_number": "719-571-9590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "402 GARDEN OF THE GODS RD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "80907",
"telephone_number": "719-571-9590"
}
],
"practiceLocations": [
{
"address_1": "501 W Buffalo St",
"address_purpose": "LOCATION",
"city": "Rawlins",
"state": "WY",
"postal_code": "823015622",
"country_code": "US",
"telephone_number": "573-590-4638",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEPHENS",
"first_name": "DAVID",
"middle_name": "JEFFREY",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-09-10",
"last_updated": "2018-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CO",
"license": "2411",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WY",
"license": "482",
"primary": false
},
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.