Dr. Brian C Stevens, Ph.D.
Psychologist, Clinical in New York, NY. Individual provider (NPI-1).
NPI number1043374697
StatusActive
Last updated in NPPESJul 27, 2007
Details
- NPI
- 1043374697
- Entity type
- Individual (NPI-1)
- Name
- Dr. Brian C Stevens
- Credential
- Ph.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 20, 2006
- Last updated
- Jul 27, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CLINICAL PSYCHOLOGIST
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 017034 | NY | Yes |
Practice location
420 W 24th StSte 1b
New York, NY 10011-1325
Phone 212-260-8566
Mailing address
309 E 5th StApt 1
New York, NY 10003-8825
Phone 212-260-8566
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