Stephanie Fosbenner MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

STEPHANIE FOSBENNER MD

Practice address

259 Mass Ave
Arlington, MA 02474-8406

Phone

(267) 374-6747

NPI assigned

Oct 7, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Stephanie Morgan Fosbenner, MDNPI 1255794699

Title

Medical Director

Phone

(267) 374-6747

Specialties & licenses 1

Addresses

Interoperability endpoints

• Direct secure messaging: sfosbennermd@org194.direct.charmhealth.com

Practitioners 1

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

• Stephanie Fosbenner, M.D.

  • Psychiatry Physician
  • Cambridge, MA
  • NPI 1255794699
  NPD Authorized official

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

{
    "created_epoch": "1728259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1790504876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 CENTRAL ST",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024764801",
            "telephone_number": "267-374-6747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 MASS AVE",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024748406",
            "telephone_number": "267-374-6747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHANIE FOSBENNER MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-07",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A",
        "authorized_official_last_name": "FOSBENNER",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "MORGAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "267-374-6747",
        "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": []
}

• Grace Steele
• Miriam Jane Stein, LICSW
• Stephan G Steisel, PSY.D.
• Gail Suzanne Steketee, PHD
• Stellia Psychiatry
• Stephcorp
• Julie Ing Stern, LIC. AC., M.A.O.M
• Taylor Steuer, IBCLC
• Isabel Lynn Stevens, PSY.D.
• Jon M Stiegel, ED.D.

• Psychiatry Physician in Arlington, MA
• Providers in Arlington, MA by specialty
• Psychiatry Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.