William F Stubbeman MD Brain Stimulation Institute Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

WILLIAM F STUBBEMAN MD BRAIN STIMULATION INSTITUTE INC

Doing business as

Stubbeman TMS

Practice address

11500 W Olympic Blvd Ste 441
Los Angeles, CA 90064-1525

Phone

(424) 248-3134

Fax

(310) 464-8918

NPI assigned

Jun 25, 2021

Organization subpart

No

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

Authorized official

Name

Dr. William Stubbeman, MDNPI 1154457372

Title

Cmo

Phone

(424) 218-3134

Specialties & licenses 1

Addresses

Other names 1

• Stubbeman TMS Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Benjamin M. Shapiro, M.D.

  • Psychiatry Physician
  • Santa Monica, CA
  • NPI 1356447460
  Medicare reassignment NPD (past)
• William F Stubbeman, M.D.

  • Psychiatry Physician
  • Los Angeles, CA
  • NPI 1154457372
  NPD Authorized official
• Jennifer Eunyoung Kim, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Los Angeles, CA
  • NPI 1699595926
  NPD

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

{
    "created_epoch": "1624579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624579200000",
    "number": "1780254474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11500 W OLYMPIC BLVD STE 441",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641525",
            "telephone_number": "424-248-3134",
            "fax_number": "310-464-8918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11500 W OLYMPIC BLVD STE 441",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641525",
            "telephone_number": "424-248-3134",
            "fax_number": "310-464-8918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM F STUBBEMAN MD BRAIN STIMULATION INSTITUTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-25",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A",
        "authorized_official_last_name": "STUBBEMAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "424-218-3134",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stubbeman TMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Psychiatry Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; 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.