Suzanne Lisa Stambaugh, PSYD

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

36459 Issued in TX

Practice address

6448 E Hwy 290 Ste E110
Austin, TX 78723-1076

Phone

(512) 467-7411

NPI assigned

Sep 1, 2010

Last updated

Aug 25, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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

• Psychological Arts

  • Professional Counselor
  • Austin, TX
  • NPI 1689082224
  NPD (past)

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

{
    "created_epoch": "1283299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377388800000",
    "number": "1659688430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8510 FOREST HEIGHTS LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787493505",
            "telephone_number": "510-918-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6448 E HWY 290 STE E110",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787231076",
            "telephone_number": "512-467-7411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAMBAUGH",
        "first_name": "SUZANNE",
        "middle_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-01",
        "last_updated": "2013-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "36459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn June Stalling, MSW, LMSW
• Alexandra Carpenter Stallings, MS, RD, LD
• Amanda Stallings, PHARMD
• John Stallworth, PH.D.
• Susan Stallworth, LPC
• Alanis Stamey
• Julia Stamman, MS, LPC
• Wayne Benedict Stanberry, PA
• Sarah Marie Stancey, M.S., CCC-SLP
• Karisa Rae Stancil, FNP-C

• Mental Health Counselor in Austin, TX
• Providers in Austin, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2013; 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.