Phyllis Louise Stewart, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY8927 Issued in CA

Practice address

12440 Imperial Hwy
Suite 116
Norwalk, CA 90650-3177

Phone

(626) 229-3587

NPI assigned

Oct 17, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720169873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5838 LADERA PARK AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900561827",
            "telephone_number": "323-290-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12440 IMPERIAL HWY",
            "address_2": "SUITE 116",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906503177",
            "telephone_number": "626-229-3587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "PHYLLIS",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY8927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St. Theresa Acupuncture Clinic Inc.
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• Jacob Stein, PSY.D.
• Jordana Bearman Steinberg
• Lorenza Stewart
• Mary Jo Stinson
• Michael Duane Stone, D.O.
• David Allan Strawbridge, PA-C
• Rachael Stringfellow, BCBA
• Koda Stroud

• Clinical Psychologist in Norwalk, CA
• Providers in Norwalk, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.