Individual provider Active NPI

Steffanie Anne Stecker, PHD

  • Psychologist
  • Monument, CO
National Provider Identifier
1942506316
Registry record updated Feb 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3546 Issued in CO
Practice address
1520 Fawnwood Rd
Monument, CO 80132-9550
Phone
(719) 344-8577
NPI assigned
Feb 2, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 3546 CO Primary

Addresses

Primary practice location

1520 Fawnwood Rd
Monument, CO 80132-9550

Mailing address

1520 Fawnwood Road
Monument, CO 80132
Phone (719) 344-8577

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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

Enrollment IDStateProvider typePAC IDDetails
I20231019001061 CO Practitioner - Clinical Psychologist 3678929171 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
3546COMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Vista Psychology, PLLC CurrentSince Jul 27, 2023 Accepting new patients
Mountain Vista Psychology, PLLC Past Accepting new patients
Mountain Vista Psychology, PLLC Psychologist Past Accepting new patients
Mountain Vista Psychology, PLLC Past Accepting new patients
Mountain Vista Psychology Past Accepting new patients
Mountain Vista Psychology, PLLC Past Accepting new patients

Locations

88 Inverness Cir E
Unit E103
Englewood, CO 80112
Phone (720) 583-9332

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1296604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296604800000",
    "number": "1942506316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 FAWNWOOD ROAD",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "80132",
            "telephone_number": "719-344-8577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 FAWNWOOD RD",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801329550",
            "telephone_number": "719-344-8577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STECKER",
        "first_name": "STEFFANIE",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-02",
        "last_updated": "2011-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "3546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monument, CO

Sources for this page

Verify at the official NPI Registry.