Active NPI
Mary Beth Stelma, PH.D.
- Psychologist
- Okemos, MI
National Provider Identifier
1932269263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6301007534
- Practice address
- 4660 Marsh Rd
Okemos, MI 48864-2143 - Phone
- (517) 347-6077
- NPI assigned
- Dec 8, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6301007534 | MI | Primary |
Addresses
Primary practice location
4660 Marsh Rd
Okemos, MI 48864-2143
Mailing address
1720 Chief Okemos Cir
Okemos, MI 48864-2224
Phone (517) 381-1933
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OC31210 | Other | MI | BLUE CROSS BLUE SHIELD |
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 Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301007534 | MI | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1932269263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1720 CHIEF OKEMOS CIR",
"city": "OKEMOS",
"state": "MI",
"postal_code": "488642224",
"telephone_number": "517-381-1933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4660 MARSH RD",
"city": "OKEMOS",
"state": "MI",
"postal_code": "488642143",
"telephone_number": "517-347-6077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STELMA",
"first_name": "MARY",
"middle_name": "BETH",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6301007534",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "OC31210",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Okemos, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.