Individual provider Active NPI

Stephen Neal Schilt, M.D.

  • Child & Adolescent Psychiatry Physician
  • Tacoma, WA
National Provider Identifier
1679659965
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
MD00020812 Issued in WA
Practice address
7609 6TH Ave
Tacoma, WA 98406-1060
Phone
(253) 565-5376
Fax
(253) 565-5376
NPI assigned
Oct 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X MD00020812 WA Primary

Addresses

Primary practice location

7609 6TH Ave
Tacoma, WA 98406-1060

Mailing address

7609 6TH Ave
Tacoma, WA 98406-1060
Phone (253) 565-5376

Other identifiers 1

IdentifierTypeStateIssuer
1303403MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120817000259 WA Practitioner - Psychiatry 8325294762 Reassigns benefits to 1 organization
Practice locations: Tacoma, WA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Loma Linda University School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1305 Tacoma Ave S
Tacoma, WA 98402-1903
Phone (253) 396-5800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD00020812WAMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Mental Health Center of Tacoma-Pierce County CurrentSince May 27, 2023 Accepting new patients

Locations

1305 Tacoma Ave S
Tacoma, WA 98402
Phone (253) 396-5065

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": "1161993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679659965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7609 6TH AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984061060",
            "telephone_number": "253-565-5376",
            "fax_number": "253-565-5376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7609 6TH AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984061060",
            "telephone_number": "253-565-5376",
            "fax_number": "253-565-5376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHILT",
        "first_name": "STEPHEN",
        "middle_name": "NEAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "WA",
            "license": "MD00020812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1303403",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.