MRS. BETTY STEPHENS (NPI# 1477501641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477501641 |
Entity Type | Individual |
Full Name | MRS. BETTY STEPHENS |
Practice Address |
2988 Majestic Isle Dr Clermont FL 34711-5271 |
Mailing Address |
2988 Majestic Isle Dr Clermont FL 34711-8846 |
Practice Telephone | 3219485355 |
Practice Fax Number | 3524212099 |
Mailing Telephone | 3524323262 |
Mailing Fax Number | 3522412099 |
Enumeration Date | 2006-05-04 |
Last Update Date | 2010-08-11 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
FL | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 684984996 | 05 | |
FL | 684984998 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932623808 | Betty Stephens | Counselor | 374 N Ky 7, Sandy Hook, KY 41171-7938 | 2017-08-01 |
1407948045 | Betty J Stephens | Registered Nurse | 250 Dewey Ave, Spartanburg, SC 29303-3009 | 2006-09-29 |
Street Address |
2988 MAJESTIC ISLE DR |
City | CLERMONT |
State | FL |
Zip Code | 34711-5271 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316546344 | Latricia Richards-smith | Nurse Practitioner | 3301 Hancock Rd, Clermont, FL 34711 | 2020-10-21 |
1073130399 | Marissa Johnston | Behavioral Analyst | 355 Citrus Tower Blvd Ste 112, Clermont, FL 34711 | 2020-07-02 |
1649839432 | New Foundations Aba Therapy, LLC | Community/Behavioral Health | 4327 S Hwy 27 #176 Clermont, Clermont, FL 34711 | 2019-06-06 |
1275006504 | Innovative Medical Management Solutions LLC | Skilled Nursing Facility | 1775 Hooks Street, Clermont, FL 34711 | 2019-01-09 |
1851867766 | Chantal P Baptiste | Nurse Practitioner | 2040 Oakley Seaver Dr Ste 300, Clermont, FL 34711 | 2018-10-17 |
1346739539 | Jennifer Brennan | Behavior Technician | 365 Citrus Tower Blvd Bldg Ste 106, Clermont, FL 34711 | 2018-05-03 |
1689163966 | Chelsea Strickland | Physical Therapy Assistant | 10037 Stockbridge St, Clermont, FL 34711 | 2018-05-02 |
1316448921 | Dana Renee Ottalagano | Counselor | 1635 E Highway 50 Ste 204, Clermont, FL 34711 | 2018-02-28 |
1306353842 | Center of Change Inc. | General Practice | 235 Citrus Tower Blvd Ste 104, Clermont, FL 34711 | 2018-01-05 |
1003328642 | Clermont Radiology LLC | Clinic/Center | 3725 South Highway 27, Suite 104, Clermont, FL 34711 | 2017-11-03 |
Find all providers in zip 34711 |
Taxonomy Code | 103TM1800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Mental Retardation & Developmental Disabilities |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316557630 | Nicole Felicia Felton | Psychologist | 9267 Canary Ivy Ln, Jacksonville, FL 32219-6001 | 2020-08-01 |
1962012310 | Wesley Green | Psychologist | 3340 Lake Center Dr Apt 12107, Mount Dora, FL 32757-2378 | 2020-07-31 |
1235748500 | Ruth J Keili | Psychologist | 3562 Old Village Dr, Orange Park, FL 32065-5521 | 2020-07-23 |
1609410059 | Barbara Ann Davis | Psychologist | 1324 Fairway Village Dr, Fleming Island, FL 32003-8398 | 2019-10-29 |
1417599531 | Bernice L Walker | Psychologist | 2449 Bracknell Forest Trl, Tavares, FL 32778-5706 | 2019-10-09 |
1013572304 | Alf 8860 Adrd Training Provider LLC. | Psychologist | 7990 Baymeadows Rd E Unit 1001, Jacksonville, FL 32256-2977 | 2019-05-02 |
1114497278 | Tayana Washington | Psychologist | 2008 Se 45th Terr, Gainesville, FL 32641-3264 | 2018-12-03 |
1598251795 | Tez-mia Kimberly Gray | Psychologist | 1100 Lime St Apt 28, Fernandina Beach, FL 32034-4417 | 2018-07-11 |
1205331881 | Tyric Lamont Drummond | Psychologist | 990 62nd Ter S, Saint Petersburg, FL 33705-5819 | 2018-03-27 |
1669973640 | Tanya Delanie Samuels | Psychologist | 502 Camino Real Ct Apt A, Brandon, FL 33510-3704 | 2018-02-23 |
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.