Stephanie Craig, PHD
Individual provider Active NPI Psychologist · West Newton, MA
NPI 1699989152 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1699989152
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 3534 (MA)
- Practice address
- 5 Sylvan Ave
West Newton, MA 02465-3015 - Phone
- (617) 965-6784
- NPI assigned
- May 10, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 30, 2025 through Apr 30, 2027
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 3534 | MA | Yes |
Addresses
Primary practice location
5 Sylvan Ave
West Newton, MA 02465-3015
Mailing address
5 Sylvan Ave
West Newton, MA 02465-3015
Phone (617) 965-6784
Other providers in West Newton, MA
- Choose You Therapy LLC
- Donna Marie Clarke
- Jeanne Coleman
- Kelsey Conroy
- Joan M Corr
- CVS Pharmacy Inc
- Gabrielle Dall
- Nina Lynn Dickerman
- Tuyet Dinh
- Catherine P. Dooley
All providers in West Newton, MA · Psychologist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.