Active NPI
Stephen George Underwood, M.D.
- Psychiatry Physician
- Radnor, PA
National Provider Identifier
1831361187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD041654L
- Practice address
- 623 Glenmary Rd
Radnor, PA 19087-4433 - Phone
- (610) 989-1600
- Fax
- (717) 705-8179
- NPI assigned
- Mar 27, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD041654L | PA | Primary |
Addresses
Primary practice location
623 Glenmary Rd
Radnor, PA 19087-4433
Mailing address
623 Glenmary Rd
Radnor, PA 19087-4433
Phone (610) 989-1600
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD041654L | PA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206576000000",
"number": "1831361187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "623 GLENMARY RD",
"city": "RADNOR",
"state": "PA",
"postal_code": "190874433",
"telephone_number": "610-989-1600",
"fax_number": "717-705-8179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "623 GLENMARY RD",
"city": "RADNOR",
"state": "PA",
"postal_code": "190874433",
"telephone_number": "610-989-1600",
"fax_number": "717-705-8179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UNDERWOOD",
"first_name": "STEPHEN",
"middle_name": "GEORGE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-03-27",
"last_updated": "2008-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MD041654L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Radnor, PA
- Trustees of the University of Pennsylvania
- Trustees of the University of Pennsylvania
- Trustees of the University of Pennsylvania
- Trustees of the University of Pennsylvania
- Sharon Money Twombly, MED/PT
- Jessee Klein Valentine, D.O.
- Diana Elizabeth Vansickle, NONE
- Michelle D Vichnin, MD
- Kristen Maria Villone, PH.D, BCBA, LBS
- Visionworks, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.