Stephanie Hall, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

163367 Issued in CA

Practice address

209 E 7TH St
Madera, CA 93638-3780

Phone

(559) 673-3508

NPI assigned

May 15, 2007

Last updated

Jul 12, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Region IV Mental Health Services

  dba Timber Hills Mental Health

  • Community/Behavioral Health Agency
  • Booneville, MS
  • NPI 1699869537
  Medicare reassignment NPD
• Region IV Desoto County Pharmacy

  • Community/Retail Pharmacy
  • Hernando, MS
  • NPI 1689915423
  NPD
• Region IV Mental Health Services

  • Community/Behavioral Health Agency
  • Ripley, MS
  • NPI 1467671412
  NPD
• Cherokee Health Systems

  dba River Valley Health

  • Federally Qualified Health Center (FQHC)
  • Blaine, TN
  • NPI 1336386440

  Internal Medicine

  NPD (past)
• Village Behavioral Health, LLC

  dba Village Behavioral Health

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Louisville, TN
  • NPI 1598998619
  NPD (past)

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562889600000",
    "number": "1841406154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 RIVERFRONT WAY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379152576",
            "telephone_number": "865-719-2763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 E 7TH ST",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936383780",
            "telephone_number": "559-673-3508"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2441A County Road 501",
            "address_purpose": "LOCATION",
            "city": "Ripley",
            "state": "MS",
            "postal_code": "386639677",
            "country_code": "US",
            "telephone_number": "662-837-8154",
            "fax_number": "662-837-9462",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "STEPHANIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2019-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD0000020408",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MS",
            "license": "24667",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "077017",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "MD0000020408",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "163367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gurpreet Singh Haans
• Candace Andrea Haddock
• Dennis Hadeen, PHARMD
• Sina Haeri, M.D., M.H.S.A.
• Jessica Hale, MPT
• Lindsay Kevin Ham
• Denise L. Haman, PT
• Syed A Hamid, MD
• Elizabeth V Haney, DC
• Michael S. Haney, DC

• Psychiatry Physician in Madera, CA
• Providers in Madera, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2019; 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.