Stephanie Angella Fidler, PSY. D.
NPI 1578619359ActiveIndividual· Psychologist, Clinical· Independence, MO
Psychologist, Clinical (PSY. D.) with Brian A Fidler and 1 other group, practicing in Independence, Missouri. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1578619359 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSY. D. |
| Sole proprietor | No |
| NPI issued | Jan 26, 2007 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 2004000217 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (MO) |
|---|
Education and affiliations
| Graduation year | 2002 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
Medical groups
- Brian A FidlerIndependence, MO · 6 clinicians
- Diakonos IncIndependence, MO · 6 clinicians
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