Active NPI
Veneta Dimitrova Stoyanova, M.D.
- Child & Adolescent Psychiatry Physician
- McMinnville, OR
National Provider Identifier
1659593929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- MD25864
- Practice address
- 420 NE 5TH St
Family and Youth Programs
McMinnville, OR 97128 - Phone
- (503) 957-4185
- Fax
- (503) 418-5775
- NPI assigned
- May 3, 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 |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | MD25864 | OR | Primary |
Addresses
Primary practice location
420 NE 5TH St
Family and Youth Programs
McMinnville, OR 97128
Mailing address
420 NE 5TH St
Family and Youth Programs
McMinnville, OR 97128
Phone (503) 957-4185
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 7, 2016 through Oct 7, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD25864 | OR | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Queens North Hawaii Community Hospital | Past | Accepting new patients | |
| Queens North Hawaii Community Hospital | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Kamuela, HI
- NPI 1477559029
-
- Orthopaedic Surgery Physician
- Kamuela, HI
- NPI 1528049814
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194220800000",
"number": "1659593929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 NE 5TH ST",
"address_2": "FAMILY AND YOUTH PROGRAMS",
"city": "MCMINNVILLE",
"state": "OR",
"postal_code": "97128",
"telephone_number": "503-957-4185",
"fax_number": "503-418-5775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 NE 5TH ST",
"address_2": "FAMILY AND YOUTH PROGRAMS",
"city": "MCMINNVILLE",
"state": "OR",
"postal_code": "97128",
"telephone_number": "503-957-4185",
"fax_number": "503-418-5775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOYANOVA",
"first_name": "VENETA",
"middle_name": "DIMITROVA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-03",
"last_updated": "2007-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "OR",
"license": "MD25864",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McMinnville, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.