Active NPI
Stephanie Ann Pittman, ED.D.
- School Psychologist
- Rhinelander, WI
National Provider Identifier
1811280191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 889-058
- Practice address
- 21 S Brown St
Rhinelander, WI 54501-3450 - Phone
- (715) 362-5437
- NPI assigned
- May 19, 2011
- 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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 889-058 | WI | Primary |
Addresses
Primary practice location
21 S Brown St
Rhinelander, WI 54501-3450
Mailing address
203 Cottage St
Merrill, WI 54452-1841
Phone (715) 432-1972
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 889-058 | WI | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305763200000",
"number": "1811280191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 COTTAGE ST",
"city": "MERRILL",
"state": "WI",
"postal_code": "544521841",
"telephone_number": "715-432-1972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 S BROWN ST",
"city": "RHINELANDER",
"state": "WI",
"postal_code": "545013450",
"telephone_number": "715-362-5437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PITTMAN",
"first_name": "STEPHANIE",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "ED.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-19",
"last_updated": "2011-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "WI",
"license": "889-058",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rhinelander, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.