Amber Jo Stephenson-Laforest, TLLP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301015834 Issued in MI

Practice address

1255 N Oakland Blvd
Waterford, MI 48327-1545

Phone

(248) 406-0090

NPI assigned

Mar 21, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Amber Jo Stephenson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1458518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458518400000",
    "number": "1982066825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 NORTH OAKLAND BLVD.",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "48327",
            "telephone_number": "248-406-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 N OAKLAND BLVD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271545",
            "telephone_number": "248-406-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENSON-LAFOREST",
        "first_name": "AMBER",
        "middle_name": "JO",
        "name_prefix": "Ms.",
        "credential": "TLLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-21",
        "last_updated": "2016-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301015834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "STEPHENSON",
            "middle_name": "JO",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kathleen Stark, LPC
• Chelsi N Steen, B.S
• Diane Lois Stellini, MA, LPC, NCC
• James S Stepanski, DO
• Nicholas James Stepanski, DO
• Amy Stern, LMSW
• Rebecca Sternberg, LMSW
• Sandra Marion Stetz, R.N.
• Julie Stinson
• Stonetree Wellness Center LLC

• Clinical Psychologist in Waterford, MI
• Providers in Waterford, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.