Stephanie Bethke Stoll, PH.D., BCBA-D

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

1404 Issued in AL

Practice address

4 Office Park Cir
Suite 215-a
Mountain BRK, AL 35223-2511

Phone

(205) 414-6686

Fax

(205) 449-5959

NPI assigned

Aug 6, 2007

Last updated

Oct 12, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

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.

• Behavioral Pediatric Institute of Alabama

  • Clinical Child & Adolescent Psychologist
  • Mountain BRK, AL
  • NPI 1639426729
  NPD (past) Authorized official

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350000000000",
    "number": "1922299890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 OFFICE PARK CIR",
            "address_2": "SUITE 215-A",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352232511",
            "telephone_number": "205-414-6686",
            "fax_number": "205-449-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 OFFICE PARK CIR",
            "address_2": "SUITE 215-A",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352232511",
            "telephone_number": "205-414-6686",
            "fax_number": "205-449-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLL",
        "first_name": "STEPHANIE",
        "middle_name": "BETHKE",
        "name_prefix": "Dr.",
        "credential": "PH.D., BCBA-D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-06",
        "last_updated": "2012-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "AL",
            "license": "1404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6107",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Starlight ABA Al LLC
• Elizabeth Staup, MS, RD, LD
• Shannon La'Shae Steele, LMSW-MPH
• Still Waters Counseling and Education Center
• Still Waters Counseling Center, LLC
• Stonecreek Dental of Alabama
• Parker L Storey, PHD
• Hannah Lara Strickland, M.S., CCC-SLP
• Truli Strickland
• Anne Sullivan

• Clinical Child & Adolescent Psychologist in Mountain BRK, AL
• Providers in Mountain BRK, AL by specialty
• Clinical Child & Adolescent Psychologist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2012; 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.