DR. MICHAEL JONATHAN STEVENS (NPI# 1174631816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174631816 |
Entity Type | Individual |
Full Name | DR. MICHAEL JONATHAN STEVENS |
Credential | PHD |
Practice Address |
901 E Grove Street Suite F Bloomington IL 61701 |
Practice Telephone | 3096625293 |
Practice Fax Number | 3094385789 |
Mailing Telephone | 3096625293 |
Mailing Fax Number | 3094385789 |
Enumeration Date | 2006-08-25 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
IL | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285106070 | Michael Jonathan Stevens | Family Medicine | 5771 S Fort Apache Rd Ste 100, Las Vegas, NV 89148-5626 | 2018-12-18 |
1164992491 | Michael Thomas Stevens | Military Health Care Provider | 100 Hospital Loop, Fairchild Afb, WA 99011 | 2018-11-29 |
1700249026 | Michael Wayne Stevens | Internal Medicine | 1500 E Medical Center Dr Spc 5243, Ann Arbor, MI 48109-5243 | 2016-04-04 |
1750638128 | Michael Anthony Stevens | Internal Medicine | 6171 E Owls Nest Pl, Tucson, AZ 85750-2095 | 2012-08-05 |
1568799427 | Michael Raymond Stevens | Psychologist | 6904 Muncaster Ct, Tampa, FL 33625-4968 | 2009-11-12 |
1629241294 | Michael Garth Stevens | Physical Therapist | 24 Rogerson Dr, Chapel Hill, NC 27517-4037 | 2008-04-03 |
1457476079 | Michael Bruce Stevens | Specialist | 2820 W Main St, Visalia, CA 93291-4331 | 2007-03-20 |
1043393572 | Michael Allan Stevens | Dentist | 902 W. Yeagua, Groesbeck, TX 76642 | 2006-10-20 |
1538175484 | Michael C Stevens | Psychiatry & Neurology | 747 E Saint George Blvd, Saint George, UT 84770-3035 | 2006-07-31 |
1558347419 | Michael Dennis Stevens Sr. | Optometrist | 9011 Poteet Jourdanton Fwy, San Antonio, TX 78224-2124 | 2005-12-21 |
Street Address |
901 E GROVE STREET SUITE F |
City | BLOOMINGTON |
State | IL |
Zip Code | 61701 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770140964 | County of Mclean | Community/Behavioral Health | 200 W Front St, 1st Floor Sw, C/o 200 W Front St, Suite 400f, Bloomington, IL 61701 | 2019-05-22 |
1023525292 | Karli Johnson | Counselor | 200 W Monroe St Ste C7, Bloomington, IL 61701 | 2018-01-09 |
1487172409 | Melody Ann Bauman | Physician Assistant | 1505 Eastland Dr, Osf Critical Cane, Pulmonary, Sleep M, Bloomington, IL 61701 | 2017-08-30 |
1215396288 | Heidi Larsen | Social Worker | 902 S East St, Bloomington, IL 61701 | 2016-02-18 |
1558735126 | Andrea E. Andrews Counseling LLC | Counselor | 200 W. Monroe St., Ste 302 C, Bloomington, IL 61701 | 2015-11-19 |
1174924856 | Carole Hahn | Dietitian, Registered | 1406 Forrest St, Bloomington, IL 61701 | 2014-09-12 |
1558786392 | Valerie Colleen Parker | Counselor | 109 W. Mulberry St., Bloomington, IL 61701 | 2014-03-04 |
1124459219 | Matilde Francois | Surgery | 1505 Eastland Dr Ste 2300, Bloomington, IL 61701 | 2013-11-27 |
1922435114 | Smitha H Shivaprasad | Pharmacist | 2611 East Oakland Avenue, Bloomington, IL 61701 | 2013-10-02 |
1295161941 | Ashvin Patel | Obstetrics & Gynecology | 31 Country Club Pl, Bloomington, IL 61701 | 2013-09-25 |
Find all providers in zip 61701 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154885028 | Sara J. W. Biebl, Ph.d., Licensed Psychologist, Pllc | Psychologist | 7900 Xerxes Ave S Ste 1125, Bloomington, MN 55431-1112 | 2019-01-24 |
1053894501 | Thrive Psychology Services, LLC | Psychologist | 4120 W Dresden Dr, Bloomington, IN 47404-8403 | 2018-09-11 |
1194184465 | Chjl LLC | Psychologist | 8120 Penn Ave S Ste 252, Bloomington, MN 55431-1358 | 2016-02-16 |
1992100077 | Lindeman and Associates, LLC | Psychologist | 3802 E 3rd St, Suite 220, Bloomington, IN 47401-5504 | 2014-10-30 |
1255772174 | Amanda Quinby | Psychologist | 205 N College Ave Ste 512, Bloomington, IN 47404-3952 | 2013-07-08 |
1457609802 | Jason Vasquez | Psychologist | 2416 Washington, A-3, Bloomington, IL 61704 | 2012-08-16 |
1710282058 | Annorah Sheeran Moorman | Psychologist | 1319 Fell Ave, Bloomington, IL 61701-1828 | 2011-01-18 |
1477860609 | Hoffmann Burchett Psychological Services, LLC | Psychologist | 205 N Williamsburg Dr, Suite F, Bloomington, IL 61704-7706 | 2010-09-09 |
1356654693 | James Wiltz | Psychologist | 2745 E Elderberry Ct, Bloomington, IN 47401-4307 | 2010-07-15 |
1528207784 | Jennifer Elizabeth Koch | Psychologist | 2502 E Empire St Ste C, Bloomington, IL 61704-3739 | 2009-02-11 |
Find all providers in BLOOMINGTON |
City | BLOOMINGTON |
Zip Code | 61701 |
Please comment or provide details below to improve the information on DR. MICHAEL JONATHAN STEVENS.
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.