KYLE R STEPHENSON (NPI# 1467818641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467818641 |
| Entity Type | Individual |
| Full Name | KYLE R STEPHENSON |
| Credential | PH.D. |
| Practice Address |
900 State St Psychology Department Salem OR 97301-3922 |
| Practice Telephone | 5033706294 |
| Mailing Telephone | 5033706294 |
| Enumeration Date | 2016-01-04 |
| Last Update Date | 2016-01-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
22426 | OR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750647608 | Kyle Stephenson | Orthopaedic Surgery | 3125 S Scatterfield Rd Ste 210, Anderson, IN 46013 | 2012-04-04 |
| Street Address |
900 STATE ST PSYCHOLOGY DEPARTMENT |
| City | SALEM |
| State | OR |
| Zip Code | 97301-3922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659359057 | Michael S Hmura | Physical Therapist | 900 State St, Salem, OR 97301-3922 | 2006-01-05 |
| 1548443476 | Willamette University | Clinic/Center | 900 State St, Salem, OR 97301-3922 | 2007-12-13 |
| 1700976180 | Barbara Blackburn Hill | Nurse Practitioner | 900 State St, Salem, OR 97301-3922 | 2006-10-13 |
| 1538250121 | Shane C. Wibel | Specialist | 900 State St, Willamette University Athletics, Salem, OR 97301-3922 | 2006-09-27 |
| 1942263744 | Peter Anthony Harmer | Specialist/Technologist | 900 State St, Exercise Science - Sports Medicine, Salem, OR 97301-3922 | 2006-04-11 |
| 1316927916 | Anne Marie Barry-lever | Nurse Practitioner | 900 State St, Willamette University Health Center, Salem, OR 97301-3922 | 2006-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205450970 | Jehan Seals | Behavior Technician | 3400 State St Set G750, Salem, OR 97301 | 2020-05-29 |
| 1093335929 | Sterling Recovery, LLC | Dietitian, Registered | 3758 Amber St Ne #105, Salem, OR 97301 | 2020-04-21 |
| 1760018360 | Riverfront Mental Health LLC | Counselor | 338 State St, Suite 985, Salem, OR 97301 | 2020-03-16 |
| 1871126888 | Amity Beth Haddon Maxwell | Social Worker | Oregon State Hospital, 2600 Center St Ne, Salem, OR 97301 | 2020-02-18 |
| 1861042632 | Brenda Grizelda Vargas | Behavioral Analyst | 3400 State Ste Ste G750, Salem, OR 97301 | 2019-09-13 |
| 1588213177 | Natalie Stone | Registered Nurse | 2045 Siverton Rd Ne, Salem, OR 97301 | 2019-09-06 |
| 1588228720 | Jeramy Disenso | Counselor | 270 Cottage St Ne, Salem, OR 97301 | 2019-04-23 |
| 1801353297 | Gwendolyn Kersey | Registered Nurse | 2600 Center St Ne Oregon State Hospital, Salem, OR 97301 | 2019-02-21 |
| 1841769114 | Spine Clinic PC | Massage Therapist | 1281 Lancaster Drive Ne, Salem, OR 97301 | 2018-11-16 |
| 1013482132 | Kellie Linn Hansen | Physical Therapist | 4049 Market St Se, Salem, OR 97301 | 2018-10-04 |
| Find all providers in zip 97301 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487110383 | Rena Elizabeth Courtney | Psychologist | 1970 Roanoke Blvd # 116a6, Salem, VA 24153-6404 | 2019-02-15 |
| 1457771354 | Ana Snegireff | Psychologist | 4722 Oak Park Dr Ne, Salem, OR 97305-2928 | 2014-04-18 |
| 1831145556 | Leslie Janelle Pitchford | Psychologist | 627 Winter St Ne, Salem, OR 97301-2428 | 2006-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740616325 | Kathleen Gregorich Hoffman | Psychologist | 3245 Nw Thurman St, Portland, OR 97210-1224 | 2013-09-16 |
| 1558708461 | Anthony Michael Duncan | Psychologist | 2236 Se Belmont St, Portland, OR 97214-2817 | 2013-05-31 |
| 1811253461 | Britania Latronica | Psychologist | 10117 Se Sunnyside Rd # F1217, Clackamas, OR 97015-7708 | 2012-04-09 |
| 1285904094 | Susan J Mcpherson Phd PC | Psychologist | 975 Willagillespie Rd Ste 202, Eugene, OR 97401-2104 | 2012-01-10 |
| 1174813539 | Robert W Mclellarn, Phd | Psychologist | 5440 Sw Westgate Drive, Suite 175, Portland, OR 97221 | 2011-04-19 |
| 1346574449 | Jerusha Beth Detweiler-bedell | Psychologist | 5440 Sw Westgate Dr., #175, Portland, OR 97221-2436 | 2009-09-23 |
| 1386845048 | Morris Tiktin | Psychologist | 1201 Sw 12 Ave, Suite 300, Portland, OR 97205-2046 | 2007-05-30 |
| 1235341629 | Muriel D. Lezak | Psychologist | 2211 Sw 1st Ave, G10, Portland, OR 97201-5060 | 2007-05-05 |
| 1952528952 | Melisa L. Finch | Psychologist | 10201 Se Main St Ste 10, Portland, OR 97216-2937 | 2007-04-19 |
| 1942326038 | Jerome Yoman | Psychologist | 3815 Sw Hall Blvd, Beaverton, OR 97005-2049 | 2007-03-21 |
| 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.