DR. MICHAEL JONATHAN STEVENS


Address: 901 E Grove Street, Suite F, Bloomington, IL 61701
Phone: 3096625293

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
IL Behavioral Health & Social Service Providers

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Office Location

Street Address 901 E GROVE STREET
SUITE F
City BLOOMINGTON
State IL
Zip Code 61701

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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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
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1356654693 James Wiltz Psychologist 2745 E Elderberry Ct, Bloomington, IN 47401-4307 2010-07-15
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Competitor

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City BLOOMINGTON
Zip Code 61701

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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