Stephen Mark Osborn, PH D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

22414 Issued in TX

Practice address

4601 Buffalo Gap Road
Suite C6
Abilene, TX 79606

Phone

(325) 695-2232

Fax

(325) 695-2233

NPI assigned

Oct 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256083200000",
    "number": "1811079700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 BUFFALO GAP ROAD",
            "address_2": "SUITE C6",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "79606",
            "telephone_number": "325-695-2232",
            "fax_number": "325-695-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 BUFFALO GAP ROAD",
            "address_2": "SUITE C6",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "79606",
            "telephone_number": "325-695-2232",
            "fax_number": "325-695-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORN",
        "first_name": "STEPHEN",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "PH D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2009-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "22414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114806601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lizbeth Orozco
• Orsburn House
• Orthopedic Associates of Abilene, L.L.P.
• Peggy Marie Ortiz, CRNA
• Jessica Ann Ortolano, M.D.
• Judy Ann Osborne, LBSW
• Terry Osborne, LCSW
• Lisa Lynn Otto, PTA
• Alain Oulai, RPH
• Outreach Health Community Care Services LP

• Clinical Psychologist in Abilene, TX
• Providers in Abilene, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2009; 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.