Active NPI
Jane Stafford, PH.D.
- Psychologist
- Aiken, SC
National Provider Identifier
1730456740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1008
- Practice address
- 33 Varden Dr
Aiken, SC 29803-5285 - Phone
- (803) 642-3801
- NPI assigned
- Nov 18, 2011
- Last updated
- Nov 18, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1008 | SC | Primary |
Addresses
Primary practice location
33 Varden Dr
Aiken, SC 29803-5285
Mailing address
33 Varden Dr
Aiken, SC 29803-5285
Phone (803) 642-3801
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1008 | SC | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aiken Psychiatric and Psychotherapy Associates PA | Current | Accepting new patients | |
| Neighborhood Improvement Project Inc | Current | Accepting new patients | |
| Neighborhood Improvement Project Inc | Current | Accepting new patients | |
| Aiken Psychotherapy | Past | Accepting new patients |
Locations
2467 Golden Camp Rd
Augusta, GA 30906
Phone (706) 922-0682
33 Varden Dr
Aiken, SC 29803
Phone (803) 642-3801
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatry Physician
- Aiken, SC
- NPI 1114995099
-
- Federally Qualified Health Center (FQHC)
- Aiken, SC
- NPI 1215743638
-
dba MAP @ Evans Pediatrics
- Federally Qualified Health Center (FQHC)
- Evans, GA
- NPI 1740158922
-
- Clinical Nurse Specialist
- Aiken, SC
- NPI 1659543262
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321574400000",
"number": "1730456740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 VARDEN DR",
"city": "AIKEN",
"state": "SC",
"postal_code": "298035285",
"telephone_number": "803-642-3801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 VARDEN DR",
"city": "AIKEN",
"state": "SC",
"postal_code": "298035285",
"telephone_number": "803-642-3801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAFFORD",
"first_name": "JANE",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-18",
"last_updated": "2011-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "SC",
"license": "1008",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aiken, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.