Steppingstone Retreat for Enhanced Living LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

P0001746 Issued in TN

Legal business name

STEPPINGSTONE RETREAT FOR ENHANCED LIVING LLC

Practice address

781 Sunset Dr
Dayton, TN 37321-5634

Phone

(423) 775-3618

Fax

(423) 775-3618

NPI assigned

Apr 21, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. William R. Boyd Jr., PH.D.NPI 1356431407

Title

Licensed Psychologist

Phone

(423) 775-3618

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William R. Boyd Jr., PH.D.

  • Health Psychologist
  • Dayton, TN
  • NPI 1356431407
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1398038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398038400000",
    "number": "1780004432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 733",
            "city": "DAYTON",
            "state": "TN",
            "postal_code": "373210733",
            "telephone_number": "423-775-3618",
            "fax_number": "423-775-3618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "781 SUNSET DR",
            "city": "DAYTON",
            "state": "TN",
            "postal_code": "373215634",
            "telephone_number": "423-775-3618",
            "fax_number": "423-775-3618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPPINGSTONE RETREAT FOR ENHANCED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-21",
        "last_updated": "2014-04-21",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "423-775-3618",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "TN",
            "license": "P0001746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cara Sparks, PHARM.D.
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• Ricki Alexis Stewart
• Jill R Sullivan, DPH
• Torben Svendsen, D.O.
• Katie Marie Swafford-Hartman, NP
• Craig Steven Swafford, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Dayton, TN
• Providers in Dayton, TN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.