Rabecca Kathryn Stahl, STUDENT

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

Practice address

5555 Cottonrose Dr
Dayton, OH 45431-1579

Phone

(502) 377-3555

NPI assigned

Nov 11, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1194739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264550400000",
    "number": "1710167374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 COTTONROSE DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454311579",
            "telephone_number": "502-377-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 COTTONROSE DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454311579",
            "telephone_number": "502-377-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAHL",
        "first_name": "RABECCA",
        "middle_name": "KATHRYN",
        "credential": "STUDENT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-11",
        "last_updated": "2010-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adisen Stadem
• Carol Lynn Stadler, PHARMD
• Melinda K Stafford
• Lauren Stagnaro
• Harold David Stahl, D.O.
• Beverly Mercedes Staigers
• Roberta Gray Staigers, MSSW, LISW
• Beth Staley, PHARMD
• Michelle M Staley, B.A.
• Joanne Elizabeth Stalker, DDS

• Clinical Child & Adolescent Psychologist in Dayton, OH
• Providers in Dayton, OH by specialty
• Clinical Child & Adolescent Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; 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.