DR. STEPHAN BRETT POULTER PH.D
NPI 1053514679
Psychologist - Clinical in Los Angeles, CA

Q: What is Stephan Poulter's NPI number?

The NPI number for Stephan Poulter is 1053514679. It was assigned to this individual provider in the NPPES registry on June 10, 2007.

Q: What is Stephan Poulter's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Stephan Poulter was last updated on September 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 10, 2007

11980 SAN VICENTE BLVD STE 621, LOS ANGELES, CA 90049(310) 480-8352 Get Directions Write a Review

NPPES record last updated: September 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Stephan Brett Poulter Ph.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. STEPHAN BRETT POULTER PH.D (NPI 1053514679) is an individual clinical provider in Los Angeles, California, licensed in California (PSY13992) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1053514679

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. STEPHAN BRETT POULTERCredential: PH.D

Location Address11980 SAN VICENTE BLVD STE 621Los Angeles, CA 90049-6604

Mailing Address11980 San Vicente Blvd Ste 621Los Angeles, CA 90049-6604 · (310) 480-8352

Phone(310) 480-8352

Sole ProprietorYes

Enumeration DateJune 10, 2007

Last NPPES UpdateSeptember 12, 2024

NPPES CertifiedSeptember 12, 2024

✔ NPI 1053514679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · PSY13992

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

11980 SAN VICENTE BLVD STE 621, Los Angeles, CA 90049

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephan Poulter's NPI number?

The NPI number for Stephan Poulter is 1053514679. It was assigned to this individual provider in the NPPES registry on June 10, 2007.

Where is Stephan Poulter located?

Stephan Poulter practices at 11980 San Vicente Blvd Ste 621, Los Angeles, CA 90049. The listed phone number is (310) 480-8352.

What is Stephan Poulter's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Stephan Poulter was last updated on September 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.