Individual provider Active NPI

Stephanie A Lord, PH.D.

  • Clinical Child & Adolescent Psychologist
  • Carlsbad, CA
National Provider Identifier
1659605756
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
Practice address
7040 Avenida Encinas Ste 104-116
Carlsbad, CA 92011-4652
Phone
(858) 215-1432
NPI assigned
Sep 23, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Clinical Child & Adolescent Psychologist 103TC2200X Primary

Addresses

Primary practice location

7040 Avenida Encinas Ste 104-116
Carlsbad, CA 92011-4652

Mailing address

7040 Avenida Encinas Ste 104-116
Carlsbad, CA 92011-4652
Phone (858) 215-1432

Other practice location 1

345 Saxony Rd Ste 104
Encinitas, CA 92024-2787
Phone (858) 215-1432

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
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Stephanie Lord, PHD, Clinical Psychologist Inc CurrentSince Oct 1, 2023 Accepting new patients

Locations

7040 Avenida Encinas
Ste 104116
Carlsbad, CA 92011
Phone (858) 215-1432

345 Saxony Rd
Ste 104
Encinitas, CA 92024
Phone (760) 436-5570

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1253664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1659605756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7040 AVENIDA ENCINAS STE 104-116",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920114652",
            "telephone_number": "858-215-1432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7040 AVENIDA ENCINAS STE 104-116",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920114652",
            "telephone_number": "858-215-1432"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "345 Saxony Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Encinitas",
            "state": "CA",
            "postal_code": "920242787",
            "country_code": "US",
            "telephone_number": "858-215-1432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LORD",
        "first_name": "STEPHANIE",
        "middle_name": "A",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-23",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; 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.