Active NPI
Adele Brenda Stein, PSYD
- Clinical Psychologist
- Nashville, TN
National Provider Identifier
1740339118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2173
- Practice address
- 110 29TH Ave N
Suite 303
Nashville, TN 37203-1401 - Phone
- (615) 329-2334
- NPI assigned
- Jan 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2173 | TN | Primary |
Addresses
Primary practice location
110 29TH Ave N
Suite 303
Nashville, TN 37203-1401
Mailing address
4914 Lynmont Dr
Nashville, TN 37215-4404
Phone (615) 309-6951
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3980846 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740339118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4914 LYNMONT DR",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372154404",
"telephone_number": "615-309-6951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 29TH AVE N",
"address_2": "SUITE 303",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372031401",
"telephone_number": "615-329-2334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEIN",
"first_name": "ADELE",
"middle_name": "BRENDA",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TN",
"license": "2173",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3980846",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- 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.