Individual provider Active NPI

Nancy Stella, PHD, PSYD

  • Psychologist
  • Cincinnati, OH
National Provider Identifier
1790836534
Registry record updated Nov 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
5080 Issued in OH
Practice address
4240 Hunt Rd
Cincinnati, OH 45242-6612
Phone
(513) 891-0650
Fax
(513) 891-2838
NPI assigned
Jan 16, 2007
Last updated
Nov 22, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 5080 OH Primary

Addresses

Primary practice location

4240 Hunt Rd
Cincinnati, OH 45242-6612

Mailing address

4450 Carver Woods Dr
Ste 2
Blue Ash, OH 45242-5528
Phone (513) 891-0650

Other identifiers 2

IdentifierTypeStateIssuer
198128000OtherOHMAGELLAN PROVIDER NUMBER
000000106839OtherOHANTHEM PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111129000448 OH Practitioner - Clinical Psychologist 2466364690 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of Miami, LM Miller School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4450 Carver Woods Dr
Suite 2
Blue Ash, OH 45242-5528
Phone (513) 984-9940

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
5080OHMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kelly Grover Counseling LLC CurrentSince Sep 11, 2022 Accepting new patients
Nancy Stella PHD PSYD, LLC CurrentSince Oct 15, 2014 Accepting new patients

Locations

4450 Carver Woods Dr
Ste 2
Blue Ash, OH 45242
Phone (513) 984-9940

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479772800000",
    "number": "1790836534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4450 CARVER WOODS DR",
            "address_2": "STE 2",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452425528",
            "telephone_number": "513-891-0650",
            "fax_number": "513-891-2838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4240 HUNT RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452426612",
            "telephone_number": "513-891-0650",
            "fax_number": "513-891-2838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STELLA",
        "first_name": "NANCY",
        "credential": "PHD, PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2016-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "5080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN PROVIDER NUMBER",
            "identifier": "198128000",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "000000106839",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.