STACEY LYNNE BROTHERS PHD
NPI 1891643680
Psychologist in Columbus, OH

Active since March 18, 2026PECOS Enrolled
3650 OLENTANGY RIVER RD, COLUMBUS, OH 43214(614) 293-9600(614) 366-1215 Get Directions Write a Review

NPPES record last updated: May 12, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 12, 2026, Mar 18, 2026 (2 updates tracked since 2026).

About Stacey Lynne Brothers Phd NPPES

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

STACEY LYNNE BROTHERS PHD (NPI 1891643680) is an individual psychologist in Columbus, Ohio, licensed in Ohio (P.08944) and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1891643680
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameSTACEY LYNNE BROTHERSCredential: PHD
Location Address3650 OLENTANGY RIVER RDColumbus, OH 43214-3464
Mailing Address700 Ackerman Rd Ste 2120Columbus, OH 43202-1559 · (614) 293-9600 · Fax (614) 366-1215
Fax(614) 366-1215
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 18, 2026
Last NPPES UpdateMay 12, 20262 updates tracked since enumeration
NPPES CertifiedMay 12, 2026
NPI 1891643680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in OH · P.08944
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

3650 OLENTANGY RIVER RD, Columbus, OH 43214

Other Names 1

Professional Name (2)Stacey Lipio Phd

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Stacey Lynne Brothers Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID840760617
PECOS Enrollment IDI20260522000183
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Specialist
3650 OLENTANGY RIVER RD, SUITE 300
COLUMBUS, OH 43214
Internal Medicine (Cardiovascular Disease)
3650 OLENTANGY RIVER RD, SUITE 300
COLUMBUS, OH 43214
Obstetrics & Gynecology
3650 OLENTANGY RIVER RD, SUITE 302
COLUMBUS, OH 43214
Internal Medicine
3650 OLENTANGY RIVER RD, STE 302
COLUMBUS, OH 43214
Internal Medicine
3650 OLENTANGY RIVER RD, SUITE 302
COLUMBUS, OH 43214
Specialist
3650 OLENTANGY RIVER RD, SUITE 300
COLUMBUS, OH 43214
Internal Medicine (Cardiovascular Disease)
3650 OLENTANGY RIVER RD, SUITE 300
COLUMBUS, OH 43214
Clinical Nurse Specialist (Psychiatric/Mental Health)
3650 OLENTANGY RIVER RD
COLUMBUS, OH 43214

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 Stacey Brothers's NPI number?

The NPI number for Stacey Brothers is 1891643680. It was assigned to this individual provider in the NPPES registry on March 18, 2026.

Where is Stacey Brothers located?

Stacey Brothers practices at 3650 Olentangy River Rd, Columbus, OH 43214. The listed phone number is (614) 293-9600.

What is Stacey Brothers's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Stacey Brothers enrolled in Medicare?

Yes. Stacey Brothers is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stacey Brothers was last updated on May 12, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.