Active NPI
Robert Grier Stephens IV, PH.D.
- Clinical Psychologist
- Hinesville, GA
National Provider Identifier
1992024731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY002734
- Practice address
- 500 E Oglethorpe Hwy
Hinesville, GA 31313-2804 - Phone
- (912) 408-2900
- NPI assigned
- May 19, 2010
- Last updated
- Jul 13, 2016
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY002734 | GA | Primary |
Addresses
Primary practice location
500 E Oglethorpe Hwy
Hinesville, GA 31313-2804
Mailing address
500 E Oglethorpe Hwy
Hinesville, GA 31313-2804
Phone (912) 408-2900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468368000000",
"number": "1992024731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 E OGLETHORPE HWY",
"city": "HINESVILLE",
"state": "GA",
"postal_code": "313132804",
"telephone_number": "912-408-2900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 E OGLETHORPE HWY",
"city": "HINESVILLE",
"state": "GA",
"postal_code": "313132804",
"telephone_number": "912-408-2900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENS",
"first_name": "ROBERT",
"middle_name": "GRIER",
"name_prefix": "Dr.",
"name_suffix": "IV",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-19",
"last_updated": "2016-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "GA",
"license": "PSY002734",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hinesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.