Active NPI
Nanette S Stephens, PHD
- Psychologist
- Houston, TX
National Provider Identifier
1811060411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 25479
- Practice address
- 24 Greenway Plaza
Suite 1703
Houston, TX 77046 - Phone
- (713) 790-1330
- Fax
- (713) 961-5019
- NPI assigned
- Nov 15, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 25479 | TX | Primary |
Addresses
Primary practice location
24 Greenway Plaza
Suite 1703
Houston, TX 77046
Mailing address
24 Greenway Plaza
Suite 1703
Houston, TX 77046
Phone (713) 790-1330
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00S4BG | Other | TX | BCBS |
| 86402A | Other | TX | BCBS |
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25479 | TX | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811060411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 GREENWAY PLAZA",
"address_2": "SUITE 1703",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77046",
"telephone_number": "713-790-1330",
"fax_number": "713-961-5019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 GREENWAY PLAZA",
"address_2": "SUITE 1703",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77046",
"telephone_number": "713-790-1330",
"fax_number": "713-961-5019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENS",
"first_name": "NANETTE",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "25479",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "00S4BG",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "86402A",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.