Active NPI
Rebecca Oaks Stadtner, PH.D.
- Counseling Psychologist
- Austin, TX
National Provider Identifier
1992929038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 24725
- Practice address
- 4131 Spicewood Springs Rd
BLDG. G, Suite 6
Austin, TX 78759-8661 - Phone
- (512) 343-6812
- NPI assigned
- Apr 12, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 24725 | TX | Primary |
Addresses
Primary practice location
4131 Spicewood Springs Rd
BLDG. G, Suite 6
Austin, TX 78759-8661
Mailing address
4131 Spicewood Springs Rd
BLDG. G, Suite 6
Austin, TX 78759-8661
Phone (512) 343-6812
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120320000436 | CA | Practitioner - Psychologist Billing Independently | 8820258494 | Practice locations: Petaluma, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
47 6TH St
Suite 201
Petaluma, CA 94952-3092
Phone (707) 227-6511
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24725 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Relationship Center for Change a | Past | Accepting new patients |
Organizations & group practices 1
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992929038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4131 SPICEWOOD SPRINGS RD",
"address_2": "BLDG. G, SUITE 6",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787598661",
"telephone_number": "512-343-6812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4131 SPICEWOOD SPRINGS RD",
"address_2": "BLDG. G, SUITE 6",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787598661",
"telephone_number": "512-343-6812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STADTNER",
"first_name": "REBECCA",
"middle_name": "OAKS",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "TX",
"license": "24725",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.