P Praxis·MD
● Active Type 1 · Individual

Stephen Blackstone Edstrom, M.D.

Psychiatry & Neurology·Jbsa Lackland, TX· NPI 1396942264 · Enumerated 2007 · 18 years on NPI
Edstrom is 1 of 13 psychiatry & neurology providers in Jbsa Lackland and 1 of 4391 in Texas.
NPI age
18 years
Enumerated 2007-07-02
Primary specialty
Psychiatry & Neurology
Plus 1 subspecialty
Licensed in
OH, IN
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-06-06
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 4391 active psychiatry & neurology providers in Texas.

NPI age
18 years
↑ 2 yr above median (16 yr)
State licenses
2 states
Top 87% — 12% of peers are multi-state
Subspecialties
1
In the 34% of peers with subspecialties

NPI lifetime · 2007 → 2026

2007-07Enumerated in NPPES
2007 2026

Where they practice

Practice location
1100 Wilford Hall Loop Bldg 4554
Jbsa Lackland, TX 782365638
📞 2102926255fax 2102927934
Mailing address
4481 Sugar Maple Dr
Wright Patterson Afb, OH 454335536
📞 9372570837

Specialties

  • Psychiatry & Neurology Primary
    A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders...
    OH license #35.151601 taxonomy 2084P0800X
  • Family Medicine
    Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
    IN license #01066091A taxonomy 207Q00000X

Practice context

Part of a multi-provider practice. 307 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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