Constance Stapleton, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2412 Issued in GA

Practice address

211 Pleasant Home Rd
BLDG G1
Augusta, GA 30907-0518

Phone

(706) 364-5228

Fax

(706) 364-5229

NPI assigned

Jun 1, 2005

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

Other names 1

• Constance Little Other name

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• R Little Enterprises Inc

  • Clinical Psychologist
  • Augusta, GA
  • NPI 1164464814
  Medicare reassignment NPD
• Shiny Triangle LCSW PC

  • Clinical Social Worker
  • Cincinnati, OH
  • NPI 1164175105

  GA

  Medicare reassignment NPD

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215475200000",
    "number": "1720080872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 PLEASANT HOME RD",
            "address_2": "BLDG G1",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309070518",
            "telephone_number": "706-364-5228",
            "fax_number": "706-364-5229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 PLEASANT HOME RD",
            "address_2": "BLDG G1",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309070518",
            "telephone_number": "706-364-5228",
            "fax_number": "706-364-5229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAPLETON",
        "first_name": "CONSTANCE",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-01",
        "last_updated": "2008-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "2412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CONSTANCE",
            "last_name": "LITTLE",
            "credential": "PHD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Bethany E Stanley
• Debbie E Stanley, RN
• Brian Kevin Stansfield, M.D.
• Steven Stanwick, DPT
• Christina Leanne Stapleton, PT
• Luke Michael Stapleton, M.D.
• Melissa Stark, COTA
• Elmer Thomas Starnes Jr., CRNA
• Ann Marie Starr, CRNA
• Ashley Staten, NP

• Clinical Psychologist in Augusta, GA
• Providers in Augusta, GA by specialty
• Clinical Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.