Active NPI
Kathryn C Stephens
- Psychiatry Physician
- Palo Alto, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A183066
- Practice address
- 4139 El Camino Way
Palo Alto, CA 94306-4010 - Phone
- (669) 319-2687
- NPI assigned
- May 29, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | E-13591 | AR | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Psychiatry Physician | 2084P0800X | A183066 | CA | Primary |
Addresses
Primary practice location
4139 El Camino Way
Palo Alto, CA 94306-4010
Mailing address
401 Quarry Rd
Palo Alto, CA 94304-1419
Phone (650) 721-4408
Other practice location 1
4801 Alberta Ave
El Paso, TX 79905-2707
Phone (915) 215-5000
Other practice location 2
10025 W Markham St Ste 210
Little Rock, AR 72205-2178
Phone (501) 663-5473
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of Arkansas College of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2001 The Alameda
San Jose, CA 95126-1136
Phone (408) 938-6750
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-13591 | AR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Momentum for Health | Current | Accepting new patients | |
| Momentum for Health | Current | Accepting new patients | |
| Momentum for Mental Health | Current | Accepting new patients |
Locations
438 N White Rd
San Jose, CA 95127
Phone (408) 254-6828
2001 The Alameda
San Jose, CA 95126
Phone (408) 938-6750
1922 The Alameda
Ste 316
San Jose, CA 95126
Phone (408) 637-0341
Interoperability endpoints
- kathryn.stephens@direct.myhealthep.org
Organizations & group practices 3
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.
-
- Community/Behavioral Health Agency
- San Jose, CA
- NPI 1154426807
-
- Psychologist
- San Jose, CA
- NPI 1760181234
-
- Community/Behavioral Health Agency
- San Jose, CA
- NPI 1396055596
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Jose, CA
- NPI 1063406551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672272000000",
"number": "1720646490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 QUARRY RD",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943041419",
"telephone_number": "650-721-4408",
"fax_number": "650-725-3762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4139 EL CAMINO WAY",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943064010",
"telephone_number": "669-319-2687"
}
],
"practiceLocations": [
{
"address_1": "4801 Alberta Ave",
"address_purpose": "LOCATION",
"city": "El Paso",
"state": "TX",
"postal_code": "799052707",
"country_code": "US",
"telephone_number": "915-215-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10025 W Markham St Ste 210",
"address_purpose": "LOCATION",
"city": "Little Rock",
"state": "AR",
"postal_code": "722052178",
"country_code": "US",
"telephone_number": "501-663-5473",
"fax_number": "501-801-1816",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEPHENS",
"first_name": "KATHRYN",
"middle_name": "C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-29",
"last_updated": "2022-12-29",
"certification_date": "2022-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AR",
"license": "E-13591",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A183066",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; 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.