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STACIA JEAN EBELT
NPI 1316721400
Psychologist - Clinical in Taylor, MI

Active since August 21, 2023
20300 SUPERIOR RD, TAYLOR, MI 48180(734) 785-7700 Get Directions Write a Review

NPPES record last updated: September 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2024, Aug 21, 2023 (2 updates tracked since 2023).

About Stacia Jean Ebelt NPPES

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

STACIA JEAN EBELT (NPI 1316721400) is an individual clinical provider in Taylor, Michigan, licensed in Michigan (6362010045) and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1316721400
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameSTACIA JEAN EBELT
Location Address20300 SUPERIOR RDTaylor, MI 48180-6331
Mailing Address12142 Lapeer RdDavison, MI 48423-8119
Phone(734) 785-7700
Sole ProprietorNo
Enumeration DateAugust 21, 2023
Last NPPES UpdateSeptember 11, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2024
✔ NPI 1316721400 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 MI · 6362010045
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.
20300 SUPERIOR RD, Taylor, MI 48180
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Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHAQUALA PHILLIPS
Social Worker
20300 SUPERIOR RD
TAYLOR, MI 48180
Wayne County (248) 636-3145
STEVEN BARUCH
Counselor
20300 SUPERIOR RD
TAYLOR, MI 48180
Wayne County (734) 785-7700
MS. LAURA MALEK BEYDOUN LMSW
Social Worker (Clinical)
20300 SUPERIOR RD
TAYLOR, MI 48180
Wayne County (734) 785-7700
CRYSTAL COOK
Social Worker
20300 SUPERIOR RD
TAYLOR, MI 48180
Wayne County (734) 785-7700
VERONICA LYNN MOORE
Case Manager/Care Coordinator
20300 SUPERIOR RD
TAYLOR, MI 48180
Wayne County (417) 680-8109
RACHEL MARIE JOHNS
Peer Specialist
20300 SUPERIOR RD
TAYLOR, MI 48180
Wayne County (734) 309-3692
MS. ELIZABETH C PENLEY
Social Worker (Clinical)
20300 SUPERIOR RD
TAYLOR, MI 48180
Wayne County (734) 785-7700
NICHOLAS HILL LMSW
Social Worker (Clinical)
20300 SUPERIOR RD
TAYLOR, MI 48180
Wayne County (734) 785-7700

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 Stacia Ebelt's NPI number?

The NPI number for Stacia Ebelt is 1316721400. It was assigned to this individual provider in the NPPES registry on August 21, 2023.

Where is Stacia Ebelt located?

Stacia Ebelt practices at 20300 Superior Rd, Taylor, MI 48180. The listed phone number is (734) 785-7700.

What is Stacia Ebelt'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 Stacia Ebelt was last updated on September 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.