STEPHAN M BECKER MD (NPI# 1386909760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386909760 |
| Entity Type | Organization |
| Organization Name | STEPHAN M BECKER MD |
| Practice Address |
2650 Executive Park Nw Suite 3 Cleveland TN 37312-2746 |
| Practice Telephone | 4234732633 |
| Practice Fax Number | 4234732643 |
| Mailing Telephone | 4234732633 |
| Mailing Fax Number | 4234732643 |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2012-07-11 |
| Authorized Official Name | STEPHAN M BECKER (OWNER) |
| Authorized Official Telephone | 4234732633 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Street Address |
2650 EXECUTIVE PARK NW SUITE 3 |
| City | CLEVELAND |
| State | TN |
| Zip Code | 37312-2746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750322863 | Jerry Allan Devane | Emergency Medicine | 2650 Executive Park Nw, Cleveland, TN 37312-2746 | 2006-06-09 |
| 1144662834 | Anna Kathleen Carden | Nurse Practitioner | 2650 Executive Park Nw, Cleveland, Tn, Cleveland, TN 37312-2746 | 2013-07-23 |
| 1326480112 | Angela Marie Coates | Nurse Practitioner | 2650 Executive Park Nw, Cleveland, TN 37312-2746 | 2013-07-23 |
| 1740545151 | Judith L Dedeker | Registered Nurse | 2650 Executive Park Nw, Suite 5, Cleveland, TN 37312-2746 | 2012-07-11 |
| 1699062554 | Diedre Fay Suits | Registered Nurse | 2650 Executive Park Nw, Suite 5, Cleveland, TN 37312-2746 | 2011-06-29 |
| 1184944365 | Patricia L Craig | Social Worker | 2650 Executive Park Nw, Suite 3, Cleveland, TN 37312-2746 | 2010-06-10 |
| 1952631889 | Timothy J Tatum | Counselor | 2650 Executive Park Nw, Suite 3, Cleveland, TN 37312-2746 | 2009-12-26 |
| 1063678795 | Stephan Max Becker | Psychiatry & Neurology | 2650 Executive Park Nw, Suite 3, Cleveland, TN 37312-2746 | 2008-08-01 |
| 1497921852 | William A Holland Jr. | Independent Medical Examiner | 2650 Executive Park Nw, Suite 5, Cleveland, TN 37312-2746 | 2008-05-06 |
| 1326228602 | Robert Stetson, Md, Pllc | Clinic/Center | 2650 Executive Park Nw, Suite #3, Cleveland, TN 37312-2746 | 2007-11-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366041196 | Middle Tennessee Treatment Clinics, LLC | Clinic/Center | 3575 Keith Street Nw, Cleveland, TN 37312 | 2020-10-22 |
| 1922630870 | Samuel Anthony Pharr | Physical Therapist | 1090 Tasso Lane, Ne, Cleveland, TN 37312 | 2020-02-09 |
| 1508400235 | Paul E. Pinson | Anesthesiology | 3917 Georgetown Road, Nw, Cleveland, TN 37312 | 2019-11-06 |
| 1902456114 | Brittani P Munck | Technician | 147 Gable Dr Nw, Cleveland, TN 37312 | 2019-09-19 |
| 1053975243 | Christian Joy Mcgirt | Counselor | 4160 North Ocoee Street, Suite 8, Cleveland, TN 37312 | 2019-04-24 |
| 1629558812 | Back In Motion, Inc. | Chiropractor | 3771 Georgetown Rd. Nw, Cleveland, TN 37312 | 2018-08-16 |
| 1508342221 | Andre L James | Case Manager/Care Coordinator | 2600 Executive Drive, Cleveland, TN 37312 | 2018-07-16 |
| 1386152197 | Courtney Ferguson | Behavioral Analyst | 3505 Adkisson Dr Nw Ste 166, Cleveland, TN 37312 | 2018-01-15 |
| 1669992285 | Nurseprofessionals | Licensed Practical Nurse | 2901 Peerless Road, Cleveland, TN 37312 | 2017-06-24 |
| 1407383334 | I Care Eyecare LLC | Optometrist | 5546 Keith St. Ne, Walmart Vision Center, Cleveland, TN 37312 | 2017-05-23 |
| Find all providers in zip 37312 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861914350 | Trinity Behavioral Medicine, Pllc | Psychiatry & Neurology | 4363 Ocoee St N Ste 3, Cleveland, TN 37312-4894 | 2017-07-17 |
| 1235511999 | Kathleen Letty Kruse | Psychiatry & Neurology | 10524 Euclid Ave #7135, Mailstop Wlk 5080, Cleveland, OH 44106 | 2015-06-18 |
| 1699188185 | Syed Amir Shah | Psychiatry & Neurology | 10524 Euclid Ave Fl 13, Cleveland, OH 44106-2205 | 2014-06-03 |
| 1346688421 | Brian S Barnett | Psychiatry & Neurology | 10524 Euclid Ave # 7135, Cleveland, OH 44106-2205 | 2013-06-11 |
| 1972863595 | Jonathan Howard Oliver | Psychiatry & Neurology | 2475 E 22nd St Ste 120, Cleveland, OH 44115-3221 | 2012-05-17 |
| 1225334097 | Mohsen Vazirian | Psychiatry & Neurology | 9500 Euclid Ave Depart of Psychiatry & Psychology, P57, Cleveland, OH 44195-0001 | 2011-01-26 |
| 1083923577 | Karl E Mobbs | Psychiatry & Neurology | 1500 Detroit Ave, #615, Cleveland, OH 44113-2444 | 2010-09-30 |
| 1336466820 | Mirica Artine Sanders | Psychiatry & Neurology | 9500 Euclid Ave/p57 Desk, Cleveland, OH 44195 | 2010-04-23 |
| 1669634630 | Kathleen Svala | Psychiatry & Neurology | 10524 Euclid Ave Fl 3, Cleveland, OH 44106-2205 | 2008-06-30 |
| 1114186418 | Neal E Goldenberg | Psychiatry & Neurology | 1744 Payne Avenue, Cleveland, OH 44114 | 2008-06-03 |
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| 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.