Stephen W Pearce, Psy., Inc., PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3468 Issued in OH

Practice address

3821 Little York Rd
Dayton, OH 45414-2409

Phone

(937) 454-1541

Fax

(937) 264-1101

NPI assigned

Jan 19, 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 OH

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

Specialty

Clinical Psychologist

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Stephen W. Pearce, Psy.D., Inc.

  • Mental Health Counselor
  • Dayton, OH
  • NPI 1124163514
  Medicare reassignment NPD

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340236800000",
    "number": "1932189479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3821 LITTLE YORK RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454142409",
            "telephone_number": "937-454-1541",
            "fax_number": "937-264-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3821 LITTLE YORK RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454142409",
            "telephone_number": "937-454-1541",
            "fax_number": "937-264-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARCE, PSY., INC.",
        "first_name": "STEPHEN",
        "middle_name": "W",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2012-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "3468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0708-658",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peachtree Healthcare
• Makaylah S Peacock
• Peak Massage and Wellness
• Ebony V Peake
• Kenneth Peake
• Alexandra Pearcy, RPH
• Emma Pearn
• Almatine Pearson, REGISTERED NURSE
• Blanche Esther Pearson, LPCC
• Daniel John Pearson, M.D.

• Clinical Psychologist in Dayton, OH
• Providers in Dayton, OH by specialty
• Clinical Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.