Stephanie McMahon, PH.D., LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810004555 Issued in VA

Legal business name

STEPHANIE MCMAHON, PH.D., LLC

Practice address

1800 Michael Faraday Dr
Suite 206
Reston, VA 20190-5354

Phone

(703) 955-6387

Fax

(703) 437-7429

NPI assigned

May 23, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Stephanie M McMahon, PH.D.

Title

Owner

Phone

(703) 955-6387

Specialties & licenses 1

Addresses

Other names 1

• Stephanie McMahon, Ph.D. Doing business as

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

{
    "created_epoch": "1337731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337731200000",
    "number": "1669732665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 MICHAEL FARADAY DR",
            "address_2": "SUITE 206",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905354",
            "telephone_number": "703-955-6387",
            "fax_number": "703-437-7429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 MICHAEL FARADAY DR",
            "address_2": "SUITE 206",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905354",
            "telephone_number": "703-955-6387",
            "fax_number": "703-437-7429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHANIE MCMAHON, PH.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-23",
        "last_updated": "2012-05-23",
        "status": "A",
        "authorized_official_last_name": "MCMAHON",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-955-6387",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810004555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stephanie McMahon, Ph.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Valentina Angela Steenblik
• Seth Steinhauer, DPT
• Paige Steinhoff
• Stellaterra Studio, LLC
• Leslie Erin Stelljes Nanson, PSY.D.
• Laura Stephens, PA-C
• Mindy Stern, M.D.
• Abram Sterne, PHD, DCLINPSYCH
• Katera Helen Stevens
• Allan Stevenson, RIC

• Clinical Psychologist in Reston, VA
• Providers in Reston, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2012; 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.