DR. TRACY J STEPHENS


Address: 1105 W Russell Street, Sioux Falls, SD 57104
Phone: 6052712690

DR. TRACY J STEPHENS (NPI# 1114180064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114180064
Entity Type Individual
Full Name DR. TRACY J STEPHENS
Credential PH,D., BCBA
Practice Address 1105 W Russell Street
Sioux Falls
SD 57104
Mailing Address 1105 W Russell St
Sioux Falls
SD 57104-1322
Practice Telephone 6052712690
Practice Fax Number 6052713956
Mailing Telephone 6052712690
Mailing Fax Number 6052713956
Enumeration Date 2008-07-09
Last Update Date 2017-01-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103T00000X Psychologist 419 SD Behavioral Health & Social Service Providers
Y 103TB0200X Psychologist
Specialization: Cognitive & Behavioral
Behavioral Health & Social Service Providers
N 103TM1800X Psychologist
Specialization: Mental Retardation & Developmental Disabilities
Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
SD 6551930 05

Other Providers TRACY STEPHENS

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Office Location

Street Address 1105 W RUSSELL STREET
City SIOUX FALLS
State SD
Zip Code 57104

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518594134 Melissa Bader Nurse Practitioner 1112 S. Lake Ave, Suite 201, Sioux Falls, SD 57104 2020-03-24
1457995714 Sanford Clinic Clinic/Center 1112 S Lake Ave, Ste 201, Sioux Falls, SD 57104 2019-10-30
1427555002 Sanford Clinic Family Medicine 136 S Phillips Ave Ste 102, Sioux Falls, SD 57104 2018-04-10
1033637210 Anna Peasley Speech-Language Pathologist 710 W 18th St, Sioux Falls, SD 57104 2017-09-07
1699204313 Sioux Falls Primary Home Care Services LLC In Home Supportive Care 201 N Minnesota Ave Ste 101l, Sioux Falls, SD 57104 2017-06-06
1093258808 Megan Regina Wexler Social Worker 4510 N Lewis Ave, Sioux Falls, SD 57104 2016-11-28
1831645498 Ryan Ortiz Specialist/Technologist 1908 1/2 Old Town Rd Nw, Albuquerque, NM 57104 2016-09-01
1881140622 Kristine Carol Smith Occupational Therapist 601 N. Spring Ave, Hawthorne Elementary, Sioux Falls, SD 57104 2016-08-31
1215299292 Jolene Mitchell Preventive Medicine 900 E 54th St N Ste 100, Sioux Falls, SD 57104 2012-06-14
1871874651 Christine Marie Burg Pharmacist 2503 East 54th Street N., Medvantx Pharmacy Services, Sioux Falls, SD 57104 2011-09-07
Find all providers in zip 57104

Taxonomy Information

Taxonomy Code 103TB0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Cognitive & Behavioral

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518055078 Thomas L. Price Psychologist 6810 S Lyncrest Ave, Suite 201, Sioux Falls, SD 57108-2515 2006-10-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1316915697 Laura W Hughes Psychologist 2908 Fifth Street, Rapid City, SD 57701 2006-03-10
1386120335 Lindsay Mae Miller Psychologist 3625 5th St, Rapid City, SD 57701-6015 2018-07-12
1699730804 James Parker Psychologist 1201 Hwy 71 S., Hot Springs, SD 57747 2006-04-19

Competitor

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City SIOUX FALLS
Zip Code 57104

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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