Active NPI
Jason G Stentoumis
- Psychologist
- Lansing, MI
National Provider Identifier
1780862789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6301013410
- Legal business name
- JASON G STENTOUMIS
- Practice address
- 2535 E Mount Hope Ave
Lansing, MI 48910-1913 - Phone
- (517) 999-3935
- Fax
- (517) 372-2542
- NPI assigned
- Feb 1, 2008
- Last updated
- Apr 9, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jason G Stentoumis, PHD
- Title
- Owner
- Phone
- (517) 999-3935
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6301013410 | MI | Primary |
Addresses
Primary practice location
2535 E Mount Hope Ave
Lansing, MI 48910-1913
Mailing address
PO Box 2257
Chesterton, IN 46304-0357
Phone (517) 676-9788
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 680C315670 | Other | MI | BLUE SHIELD OF MICHIGAN |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Psychologist
- Okemos, MI
- NPI 1730375106
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201824000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1365465600000",
"number": "1780862789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2257",
"city": "CHESTERTON",
"state": "IN",
"postal_code": "463040357",
"telephone_number": "517-676-9788",
"fax_number": "517-676-3438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2535 E MOUNT HOPE AVE",
"city": "LANSING",
"state": "MI",
"postal_code": "489101913",
"telephone_number": "517-999-3935",
"fax_number": "517-372-2542"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JASON G STENTOUMIS",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-01",
"last_updated": "2013-04-09",
"status": "A",
"authorized_official_last_name": "STENTOUMIS",
"authorized_official_first_name": "JASON",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "517-999-3935",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": "MI",
"license": "6301013410",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF MICHIGAN",
"identifier": "680C315670",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.