JACQUALENE J. STEPHENS (NPI# 1932184306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932184306 |
| Entity Type | Individual |
| Full Name | JACQUALENE J. STEPHENS |
| Credential | PHD |
| Practice Address |
3310 Live Oak St Behavioral Health & Social Services Dallas TX 75204-6153 |
| Mailing Address |
Po Box 660599 Dallas TX 75266-0599 |
| Practice Telephone | 2142661222 |
| Practice Fax Number | 2142661248 |
| Enumeration Date | 2005-12-08 |
| Last Update Date | 2009-09-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
2-3002 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 149400703 | 05 | |
| TX | 149400705 | 05 | |
| TX | 149400706 | 05 | |
| TX | 149400708 | 05 | |
| TX | 149400709 | 05 | |
| TX | 149400707 | 05 | |
| TX | 149400710 | 05 | |
| TX | 149400701 | 05 | |
| TX | 149400711 | 05 | |
| TX | BLUE CROSS BLUE SHIELD | 81457P | 01 |
| TX | 149400704 | 05 | |
| TX | 149400702 | 05 | |
| TX | 149400712 | 05 |
| Street Address |
3310 LIVE OAK ST BEHAVIORAL HEALTH & SOCIAL SERVICES |
| City | DALLAS |
| State | TX |
| Zip Code | 75204-6153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306842216 | Khalida Yasmin | Family Medicine | 3310 Live Oak St, Dallas, TX 75204-6153 | 2005-06-24 |
| 1295151884 | Laura Fortner | Doula | 3310 Live Oak St, Suite 201, Dallas, TX 75204-6153 | 2014-03-07 |
| 1396049698 | Amerismiles Inc | Dentist | 3310 Live Oak St, Suite 200, Dallas, TX 75204-6153 | 2010-12-29 |
| 1346413317 | April Nicole Campbell | Physician Assistant | 3310 Live Oak St, Youth & Family Centers, Dallas, TX 75204-6153 | 2008-04-10 |
| 1518155258 | Audrey L. Graham, Md, Pa | Specialist | 3310 Live Oak St, 400, Dallas, TX 75204-6147 | 2007-10-09 |
| 1013102839 | Druthil Belur | Dentist | 3310 Live Oak St, #200, Dallas, TX 75204-6153 | 2007-09-14 |
| 1841485638 | Deepa Narayanan | Family Medicine | 3310 Live Oak St, Dallas, TX 75204-6153 | 2007-09-13 |
| 1053511915 | Jenaya Judonne Ward | Obstetrics & Gynecology | 3310 Live Oak St, Suite 210, Dallas, TX 75204-6153 | 2007-07-19 |
| 1447301379 | Pgvpediatrics, Pa | Pediatrics | 3310 Live Oak St, Suite 201, Dallas, TX 75204-6153 | 2007-01-16 |
| 1972688224 | Aaron Van Wright | Psychiatry & Neurology | 3310 Live Oak St, Dallas, TX 75204-6153 | 2006-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020350 | Christina Wilder | Nurse Practitioner | 821 Allen Street Apt 424, Dallas, TX 75204 | 2020-10-11 |
| 1710441803 | Axownal Monitoring, Pllc | Electrodiagnostic Medicine | 2633 Mckinney Ave Ste 130 #329, Dallas, TX 75204 | 2019-01-23 |
| 1275026221 | Taylor Houser | Advanced Practice Midwife | 3611 Swiss Ave Ste 200, Dallas, TX 75204 | 2018-06-13 |
| 1407372147 | Regan Paulsen | Counselor | 4144 N. Central Expressway 955, 955, Dallas, TX 75204 | 2017-08-15 |
| 1639621311 | Pat Thi Nguyen | Nurse Practitioner | 3133 Lemmon Ave East, Dallas, TX 75204 | 2016-10-28 |
| 1770957896 | Dendrite Monitoring Services, Pllc | Electrodiagnostic Medicine | 2633 Mckinney Ave, Ste 130 # 335, Dallas, TX 75204 | 2015-12-01 |
| 1245609858 | Heather Eileen Li | Pharmacist | 2830 State St, Dallas, TX 75204 | 2015-09-24 |
| 1437527223 | Christy Walker | Nurse Practitioner | 2420 Clark St #703, Dallas, TX 75204 | 2015-09-10 |
| 1740678077 | Margaret Dutton | Physical Therapist | 4200 Live Oak, Dallas, TX 75204 | 2015-01-09 |
| 1639579659 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 3133 Lemmon Ave E, Dallas, TX 75204 | 2014-08-27 |
| Find all providers in zip 75204 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517267 | Hunter Boone Small | Psychologist | 5940 Forest Park Rd Apt 1100, Dallas, TX 75235-6444 | 2020-10-27 |
| 1144834268 | Jeffrey Baldridge | Psychologist | 8140 Walnut Hill Ln Ste 450, Dallas, TX 75231-4328 | 2020-09-04 |
| 1871104760 | Nicole Elizabeth Hooper | Psychologist | 1 Stonebriar Ct, Dallas, TX 75206-8812 | 2020-08-13 |
| 1992313522 | Aisha Iqbal | Psychologist | 5454 La Sierra Dr Ste 201, Dallas, TX 75231-2344 | 2020-07-20 |
| 1801430483 | Yaffa Podbilewicz-schuller | Psychologist | 6618 Elvedon Dr, Dallas, TX 75248-1324 | 2019-11-06 |
| 1578111993 | Anne Caroline Brasch | Psychologist | 6750 Hillcrest Plaza Dr Ste 206, Dallas, TX 75230-1438 | 2019-08-28 |
| 1215497672 | Tiffany Armstrong | Psychologist | 8350 N Central Expy Ste 1275, Dallas, TX 75206-1614 | 2019-03-21 |
| 1275001208 | Bryan Elliott Jester | Psychologist | 4100 Spring Valley Rd Ste 511, Dallas, TX 75244-3678 | 2018-11-07 |
| 1003398074 | Aaron Hands | Psychologist | 5646 Milton St Ste 740, Dallas, TX 75206 | 2018-09-05 |
| 1174001960 | Robert Butler Hampson | Psychologist | 5910 N. Central Expressway, Suite 1820, Dallas, TX 75206 | 2018-08-02 |
| Find all providers in DALLAS | ||||
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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.