Organization Active NPI

Stembel Psychological Services, LLC

  • Clinical Psychologist
  • West Lafayette, IN
National Provider Identifier
1700219458
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
20041072A Issued in IN
Legal business name
STEMBEL PSYCHOLOGICAL SERVICES, LLC
Practice address
148 Sagamore Pkwy W.
West Lafayette, IN 47906-1569
Phone
(765) 366-0580
Fax
(765) 295-7962
NPI assigned
Aug 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Authorized official

Name
Dr. Shari R Stembel, PH.D., HSPP
Title
Owner/Auth. Official
Phone
(765) 366-0580

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 20041072A IN Primary

Addresses

Primary practice location

148 Sagamore Pkwy W.
West Lafayette, IN 47906-1569

Mailing address

148 Sagamore Pkwy W.
West Lafayette, IN 47906-1569
Phone (765) 366-0580

Other identifiers 1

IdentifierTypeStateIssuer
200106570BMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170406000462 IN Part B Supplier - Clinic/Group Practice 3779869722 Receives reassigned benefits from 1 practitioner
Practice locations: West Lafayette, IN

National Provider Directory

National Provider Directory

Locations

148 Sagamore Pkwy W
West Lafayette, IN 47906
Phone (765) 463-3016

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1376611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750032000000",
    "number": "1700219458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 SAGAMORE PKWY W.",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479061569",
            "telephone_number": "765-366-0580",
            "fax_number": "765-295-7962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 SAGAMORE PKWY W.",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479061569",
            "telephone_number": "765-366-0580",
            "fax_number": "765-295-7962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEMBEL PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-16",
        "last_updated": "2025-06-16",
        "status": "A",
        "authorized_official_last_name": "STEMBEL",
        "authorized_official_first_name": "SHARI",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/AUTH. OFFICIAL",
        "authorized_official_telephone_number": "765-366-0580",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., HSPP"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20041072A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200106570B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lafayette, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.