Organization Active NPI

Stephanie L. Lonsway, PH.D., Psychologist, LLC

  • Clinical Psychologist
  • Wyoming, MI
National Provider Identifier
1841694296
Registry record updated Oct 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301015757 Issued in MI
Legal business name
STEPHANIE L. LONSWAY, PH.D., PSYCHOLOGIST, LLC
Practice address
1843 RW Berends Dr SW
Wyoming, MI 49519-4955
Phone
(616) 773-2908
NPI assigned
Oct 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2014

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

Authorized official

Name
Dr. Stephanie Lonsway, PH.D
Title
Psychologist
Phone
(586) 291-2503

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 6301015757 MI Primary

Addresses

Primary practice location

1843 RW Berends Dr SW
Wyoming, MI 49519-4955

Mailing address

1843 RW Berends Dr SW
Wyoming, MI 49519-4955

National Provider Directory

National Provider Directory

Locations

1843 Rw Berends Dr SW
Wyoming, MI 49519
Phone (616) 600-2845

NPI Registry JSON

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

{
    "created_epoch": "1413244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413244800000",
    "number": "1841694296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1843 RW BERENDS DR SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495194955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1843 RW BERENDS DR SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495194955",
            "telephone_number": "616-773-2908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHANIE L. LONSWAY, PH.D., PSYCHOLOGIST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-14",
        "last_updated": "2014-10-14",
        "status": "A",
        "authorized_official_last_name": "LONSWAY",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "586-291-2503",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301015757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyoming, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2014; 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.