Stephanie Pim Emde

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

2743 Orange St
Riverside, CA 92501-2538

Phone

(951) 788-9515

NPI assigned

Jun 11, 2012

Last updated

Oct 6, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Stephanie Pim Emde Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Whiteside Manor, Palm Facility

  • Substance Abuse Rehabilitation Facility
  • Riverside, CA
  • NPI 1467902502
  NPD (past)

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

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1699037176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2743 ORANGE ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925012538",
            "telephone_number": "951-788-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2743 ORANGE ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925012538",
            "telephone_number": "951-788-9515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2452 Wilshire St",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925012144",
            "country_code": "US",
            "telephone_number": "951-788-9515",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4750 Palm Ave",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925014012",
            "country_code": "US",
            "telephone_number": "951-788-9515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EMDE",
        "first_name": "STEPHANIE",
        "middle_name": "PIM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-11",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "EMDE",
            "middle_name": "PIM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ramy Elsawah, MD
• Omar Elsemary, MD
• Najla Emadi
• Aras Emdadi, DO
• Ariana Emde
• Emerald Coast Healthcare, LLC (Emerald Coast Congregate)
• Emerald Isle Medical Group Inc
• Emergency Surgical Associates
• Neisha Emerson, P.T.
• Iheanacho Emeruwa, M.D.

• Mental Health Counselor in Riverside, CA
• Providers in Riverside, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; 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.