Troy J Stettler, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY25956 Issued in CA

Practice address

9600 Veterans Drive 116 MHC
Tacoma, WA 98493-0001

Phone

(253) 583-3516

NPI assigned

May 17, 2010

Last updated

Apr 25, 2018By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1274054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524614400000",
    "number": "1649599572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9600 VETERANS DRIVE 116 MHC",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984930001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 VETERANS DRIVE 116 MHC",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984930001",
            "telephone_number": "253-583-3516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STETTLER",
        "first_name": "TROY",
        "middle_name": "J",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-17",
        "last_updated": "2018-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY25956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natasha Sue Stephenson, LMP
• Ramona Stephenson
• Roberta Sue Stephenson, M.D.
• Katrina Lynn Sterling, ARNP
• Kimberly Ida Sterling, RDH
• Laura Steuble, D.O.
• Wolfgang Theodore Steudel, M.D.
• Steve L. Franks, M.a., L.M.F.T., PLLC
• Steven P Marinkovich DDS
• Steven R Maynard, MD, PLLC

• Clinical Psychologist in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Clinical Psychologist in Washington

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

Verify at the official NPI Registry.