Stephanie Mishevski, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

20043053A Issued in IN

Practice address

9245 Calumet Ave Ste 101a
Munster, IN 46321-4172

Phone

(773) 888-3148

NPI assigned

Dec 26, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Psychology Practice, PC

  • Health Service Psychologist
  • Schererville, IN
  • NPI 1740991223
  NPD Authorized official

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

{
    "created_epoch": "1514246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567728000000",
    "number": "1649786708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4928 W 87TH LN",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463071614",
            "telephone_number": "219-789-5189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9245 CALUMET AVE STE 101A",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463214172",
            "telephone_number": "773-888-3148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISHEVSKI",
        "first_name": "STEPHANIE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-26",
        "last_updated": "2019-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20043053A",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "IN",
            "license": "20043053A",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IN",
            "license": "20043053A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill A Miller, PSY.D., HSPP
• Kaitlyn Miller, PA
• Jeffrey T Milne, D.D.S.
• Sun Min, MD
• Steven Mischel, D.O.
• Howard Morris Mishoulam, M.D.
• Meaghan Renee Misiasz, MD
• Cathy Marie Mistovich, OT
• Makayla Shanice Mitchell
• Mark A Mitchell, D.O.

• Psychologist in Munster, IN
• Providers in Munster, IN by specialty
• Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2019; 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.