JACK STEPHENS


Address: 801 Old Harshman Rd, Riverside, OH 45431-1238
Phone: 9372596603

JACK STEPHENS (NPI# 1700200680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TS0200X Psychologist
Specialization: School
1155279 OH Behavioral Health & Social Service Providers

Other Providers JACK STEPHENS

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

Office Location

Street Address 801 OLD HARSHMAN RD
City RIVERSIDE
State OH
Zip Code 45431-1238

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 103TS0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization School

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City RIVERSIDE
Zip Code 45431

Improve Information

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Dataset Information

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.

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