JACK STEPHENS (NPI# 1700200680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700200680 |
| Entity Type | Individual |
| Full Name | JACK STEPHENS |
| Practice Address |
801 Old Harshman Rd Riverside OH 45431-1238 |
| Practice Telephone | 9372596603 |
| Practice Fax Number | 9372596611 |
| Enumeration Date | 2014-02-12 |
| Last Update Date | 2014-02-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
1155279 | OH | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073991915 | Jack Edward Stephens | Internal Medicine | 4401 Harrison Blvd, Ogden, UT 84403 | 2015-05-12 |
| 1366607772 | Jack Stephens | Dentist | 6315 Cypresswood Dr, Spring, TX 77379-8208 | 2008-07-24 |
| Street Address |
801 OLD HARSHMAN RD |
| City | RIVERSIDE |
| State | OH |
| Zip Code | 45431-1238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124194899 | Reagan F Lucas | Speech-Language Pathologist | 801 Old Harshman Rd, Riverside, OH 45431-1238 | 2006-11-27 |
| 1255808051 | Madison Rae Williams | Registered Nurse | 801 Old Harshman Rd, Riverside, OH 45431-1238 | 2018-10-30 |
| 1851759740 | Lindsey Mcglinch | Registered Nurse | 801 Old Harshman Rd, Riverside, OH 45431-1238 | 2016-02-05 |
| 1013302843 | Sherri Mackenzie | Psychologist | 801 Old Harshman Rd, Riverside, OH 45431-1238 | 2015-03-30 |
| 1316362981 | Jon Jacomet | Psychologist | 801 Old Harshman Rd, Riverside, OH 45431-1238 | 2014-02-19 |
| 1942624846 | Judy Marrinan | Registered Nurse | 801 Old Harshman Rd, Riverside, OH 45431-1238 | 2014-02-12 |
| 1760806723 | Lynn Lindsay | Speech-Language Pathologist | 801 Old Harshman Rd, Riverside, OH 45431-1238 | 2014-02-12 |
| 1639593114 | David Profitt | Psychologist | 801 Old Harshman Rd, Riverside, OH 45431-1238 | 2014-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336768571 | Seth Perry | Student in an Organized Health Care Education/Training Program | Soin Family Medicine, 2145 North Fairfield Road, Suite 100, Beavercreek, OH 45431 | 2020-04-08 |
| 1326680133 | Beavercreek Dental Care Inc | Clinic/Center | 2141 N Fairfield Rd Suite A, Beavercreek, OH 45431 | 2019-10-14 |
| 1487213955 | Hannah Sutherland | Dentist | 3286 Pentagon Park Blvd, Beavercreek, OH 45431 | 2019-06-10 |
| 1598232027 | Holly M Williams | Speech-Language Pathologist | 3038 Kemp Road, Beavercreek, OH 45431 | 2018-11-02 |
| 1770987711 | Tisha Alcorn | Home Health Aide | 327 Canova Ln., Dayton, OH 45431 | 2014-10-20 |
| 1619389301 | Peyman Fattahi | Dentist | 3286 Pentagon Park Blvd., Beavercreek, OH 45431 | 2014-05-29 |
| 1497182992 | Trista Muncy | Social Worker | 100 Elmwood Park Drive Suite 201, Dayton, OH 45431 | 2013-09-30 |
| 1871869636 | Liberty Nursing Center of Beavercreek Inc | Skilled Nursing Facility | 3854 Park Overlooke Drive, Beavercreek, OH 45431 | 2012-03-27 |
| 1750650776 | Emergency Medicine Specialists, Inc | Emergency Medicine | 3535 Pentagon Boulevard, Beavercreek, OH 45431 | 2011-12-20 |
| 1902079213 | Laureene Bollinger | Registered Nurse | 2286 El Cid Dr., Beavercreek, OH 45431 | 2008-04-08 |
| Find all providers in zip 45431 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801424932 | Natalie Anderson | Psychologist | 5926 Applecross Dr, Riverside, CA 92507-6480 | 2020-04-01 |
| 1033691902 | Amy Bilow | Psychologist | 212 Lawton Rd, Riverside, IL 60546-2335 | 2018-09-06 |
| 1487169793 | Lauren E Heilbrunn | Psychologist | 61 Woodside Rd, Riverside, IL 60546-1974 | 2017-12-08 |
| 1033628524 | Melissa Caby | Psychologist | 86 Southcote Rd, Riverside, IL 60546-1633 | 2017-09-27 |
| 1689183592 | Diane Louise Wallendjack | Psychologist | 65 Woodside Rd, Riverside, IL 60546-1974 | 2017-09-22 |
| 1023599958 | Brianna Shaw | Psychologist | 61 Woodside Rd, Riverside, IL 60546-1974 | 2018-08-28 |
| 1013302843 | Sherri Mackenzie | Psychologist | 801 Old Harshman Rd, Riverside, OH 45431-1238 | 2015-03-30 |
| 1316362981 | Jon Jacomet | Psychologist | 801 Old Harshman Rd, Riverside, OH 45431-1238 | 2014-02-19 |
| 1639593114 | David Profitt | Psychologist | 801 Old Harshman Rd, Riverside, OH 45431-1238 | 2014-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083220982 | Christopher Enz | Psychologist | 914 Mohawk Dr, Mc Dermott, OH 45652-9000 | 2020-09-17 |
| 1114532090 | Elizabeth Ann Chech | Psychologist | 7915 Manhattan Ave, Parma, OH 44129-1840 | 2020-09-09 |
| 1275146029 | Jennifer Lynn Eganhouse | Psychologist | 187 Wilson Dr, Worthington, OH 43085-4040 | 2020-08-30 |
| 1275145708 | Sharla Nichols Fasko | Psychologist | 7238 Pilliod Rd, Holland, OH 43528-9572 | 2020-08-17 |
| 1740806801 | Danita M Hamlin | Psychologist | 61 State, Gallipolis, OH 45631-1185 | 2020-06-24 |
| 1508481508 | Sharmayne Sellers | Psychologist | 2654 E 130th St, Cleveland, OH 44120-1452 | 2020-06-15 |
| 1982226833 | Karen Lynn Heichel | Psychologist | 1684 Medina Rd, Medina, OH 44256-9314 | 2020-05-14 |
| 1780205807 | Kera L Donovan | Psychologist | 9 Cherry Dr Nw, North Canton, OH 44720-5302 | 2020-04-29 |
| 1750916425 | Rachel Martin | Psychologist | 20800 Westgate Professional Center #200, Fairview Park, OH 44126 | 2020-03-03 |
| 1093356529 | Stacie Baker Corder | Psychologist | 11701 W Lake Rd, Vermilion, OH 44089-3029 | 2019-10-06 |
| Find all providers with the same taxonomy | ||||
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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.