Active NPI
Sara Stelpflug, M.A.
- School Psychologist
- Pella, IA
National Provider Identifier
1790040996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 362819
- Practice address
- 612 Country Side LN
Pella, IA 50219-7865 - Phone
- (641) 204-2486
- NPI assigned
- Jul 12, 2012
- 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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 362819 | IA | Primary |
Addresses
Primary practice location
612 Country Side LN
Pella, IA 50219-7865
Mailing address
612 Country Side LN
Pella, IA 50219-7865
Phone (641) 204-2486
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 362819 | IA | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342051200000",
"number": "1790040996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "612 COUNTRY SIDE LN",
"city": "PELLA",
"state": "IA",
"postal_code": "502197865",
"telephone_number": "641-204-2486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "612 COUNTRY SIDE LN",
"city": "PELLA",
"state": "IA",
"postal_code": "502197865",
"telephone_number": "641-204-2486"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STELPFLUG",
"first_name": "SARA",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-12",
"last_updated": "2012-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "IA",
"license": "362819",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pella, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.