NPIMap

Organization Active NPI

Stephen Jenkins PHD Abpp LP PLLC

  • Clinical Psychologist
  • Saint Cloud, MN
National Provider Identifier
1942870001
Registry record updated Aug 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
STEPHEN JENKINS PHD ABPP LP PLLC
Practice address
1411 W Saint Germain St Ste 105
Saint Cloud, MN 56301-4180
Phone
(320) 253-3715
NPI assigned
Jun 30, 2021
Last updated
Aug 27, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2021

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

Authorized official

Name
Dr. Stephen Jenkins, PHDNPI 1013528207
Title
Licensed Psychologist
Phone
(320) 253-3715

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X NU Primary

Addresses

Primary practice location

1411 W Saint Germain St Ste 105
Saint Cloud, MN 56301-4180

Mailing address

1741 Oregon TRL
Saint Cloud, MN 56301-9164
Phone (320) 309-8784

Other practice location 1

1741 Oregon Trl
Saint Cloud, MN 56301-9164
Phone (320) 309-8784

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630022400000",
    "number": "1942870001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1741 OREGON TRL",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563019164",
            "telephone_number": "320-309-8784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 W SAINT GERMAIN ST STE 105",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563014180",
            "telephone_number": "320-253-3715"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1741 Oregon Trl",
            "address_purpose": "LOCATION",
            "city": "Saint Cloud",
            "state": "MN",
            "postal_code": "563019164",
            "country_code": "US",
            "telephone_number": "320-309-8784",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STEPHEN JENKINS PHD ABPP LP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-30",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "320-253-3715",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; 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.