David T. Stevens, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY001895 Issued in GA

Practice address

405 S Thornton Ave
Dalton, GA 30720-8285

Phone

(706) 226-1146

NPI assigned

Jun 15, 2006

Sex

Male

Sole proprietor

Yes

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

Enrolled in GA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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

• The Stevens Psychology Clinic

  • Child & Adolescent Psychiatry Physician
  • Dalton, GA
  • NPI 1033385158
  Medicare reassignment NPD

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385337600000",
    "number": "1831133438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1927",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307221927",
            "telephone_number": "706-226-1146",
            "fax_number": "706-226-1483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 S THORNTON AVE",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307208285",
            "telephone_number": "706-226-1146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "DAVID",
        "middle_name": "T.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2013-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY001895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00675353D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ginger Dawn Starnes, APRN
• Jennifer Dark Starnes, M.D.
• Alejandra Staubs, D.O.
• Dennis Franklin Steele Sr., D.D.S.
• Michael William Stein, M.ED, NCC, LPC
• Lisa H. Stevens, M.D.
• Daniel Paul Stewart, D.O.
• Gregory Keith Stinnett, RPH, DPH
• Lee Martin Strauss, M.D.
• Elton Strickland, M.D.

• Clinical Psychologist in Dalton, GA
• Providers in Dalton, GA by specialty
• Clinical Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.