Stephen J Enns

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

14838 Issued in SC

Legal business name

STEPHEN J ENNS

Practice address

224 Greenville St NW
Aiken, SC 29801-3946

Phone

(803) 649-0808

Fax

(803) 649-5900

NPI assigned

Jan 7, 2016

Last updated

Jan 7, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marti Herndon

Title

Office Manager

Phone

(803) 649-0808

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert W Bradford, LISW-CP

  • Clinical Social Worker
  • Aiken, SC
  • NPI 1093030561
  NPD (past)
• Stephen John Enns, M.D.

  • Child & Adolescent Psychiatry Physician
  • Aiken, SC
  • NPI 1487711354
  NPD (past)

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

{
    "created_epoch": "1452124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452124800000",
    "number": "1942666839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 GREENVILLE ST NW",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298013946",
            "telephone_number": "803-649-0808",
            "fax_number": "803-649-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 GREENVILLE ST NW",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298013946",
            "telephone_number": "803-649-0808",
            "fax_number": "803-649-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN J ENNS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-07",
        "last_updated": "2016-01-07",
        "status": "A",
        "authorized_official_last_name": "HERNDON",
        "authorized_official_first_name": "MARTI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "803-649-0808"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "SC",
            "license": "14838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00609122A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G38477",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephie Stanley
• State of South Carolina (SC Dhec)
• Kathryn L Staton, RN
• Crystal Steelman
• David Andrew Steiner, M.D.
• Cheryl Fish Stephens, F.N.P.
• Stetty Palms, LLC
• Catherine Stevens, R.N.
• Chayse Christopher Stevens, B.S.
• Mandy Stevens, MA, SLP

• Child & Adolescent Psychiatry Physician in Aiken, SC
• Providers in Aiken, SC by specialty
• Child & Adolescent Psychiatry Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2016; 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.