STACEY RICHARDSON (NPI# 1033553904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033553904 |
Entity Type | Individual |
Full Name | STACEY RICHARDSON |
Credential | PHD |
Practice Address |
5005 N. Piedras St, Attn Wbamc El Paso TX 79920-5001 |
Practice Telephone | 9157426382 |
Mailing Telephone | 9157426382 |
Enumeration Date | 2013-04-23 |
Last Update Date | 2013-04-23 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
1737 | AL | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093900409 | Stacey Drake Richardson | Physical Therapist | 8603 S Dixie Hwy Ste 308, Miami, FL 33143-7829 | 2007-09-10 |
1740498930 | Stacey Richardson | Developmental Therapist | 17736 Sycamore Ave, Country Club Hills, IL 60478-4870 | 2007-05-19 |
1679690010 | Stacey Richardson | Speech-Language Pathologist | 315 8th Ave, Franklinton, LA 70438-1007 | 2007-03-22 |
Street Address |
5005 N. PIEDRAS ST, ATTN WBAMC |
City | EL PASO |
State | TX |
Zip Code | 79920-5001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518512607 | Haley Yaw | Student in an Organized Health Care Education/Training Program | 5005 North Piedras Ave, El Paso, TX 79920 | 2019-08-06 |
1225521636 | Kelsea Killin | Student in an Organized Health Care Education/Training Program | Wbamc/dom/gme, 5005 N Piedras Street, El Paso, TX 79920 | 2018-06-11 |
1891216594 | Timothy C Gilligan | Student in an Organized Health Care Education/Training Program | Attn: Mchm-dos-gsr, Wbamc, 5005 N. Piedras St, El Paso, TX 79920 | 2017-07-03 |
1285180893 | Adelina Ibanez | Dental Assistant | 5005 N. Piedras St. 2nd Floor Rm 2112, William Beaumont Army Medical Center, El Paso, TX 79920 | 2016-09-01 |
1740657907 | Sondra Reynolds | Social Worker | 505 N Piedras St, El Paso, TX 79920 | 2015-08-24 |
1407279557 | Therese Hadden | Social Worker | 2489 Ricker Road, El Paso, TX 79920 | 2014-01-27 |
1265710032 | Courtney Rose Usry | Internal Medicine | 5005 N Piedras St., El Paso, TX 79920 | 2011-07-28 |
1760789010 | Debra Dianca Ingle-munoz | Social Worker | Wbamc, 5005 N. Piedras, El Paso, TX 79920 | 2011-02-23 |
1467688325 | Silvia Ursula Green | Radiology | 5005 N. Piedras Strees, El Paso, TX 79920 | 2009-06-05 |
1184803058 | Nora Dougan Hussey | Family Medicine | 5505 North Piedras St, William Beaumont Army Medical Center, El Paso, TX 79920 | 2007-10-29 |
Find all providers in zip 79920 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144727512 | Blake Alexander Riddell | Psychologist | 600 Sunland Park Dr., Bldg. 6, Suite 100, El Paso, TX 79912-7991 | 2018-04-11 |
1174911457 | Justin D. Kepple | Psychologist | 8412 Basil Ct, El Paso, TX 79925-3902 | 2015-01-08 |
1841637998 | Randall Hampton Rattan | Psychologist | 7717 Lockheed, Suite E, El Paso, TX 79925 | 2013-05-30 |
1770628216 | Jerry L Bryan | Psychologist | 1200 Golden Key Cir, #140, El Paso, TX 79925-5820 | 2007-02-21 |
1659417756 | Sara Beth Bosley | Psychologist | 51000 N. Piedras Street, Room A374, El Paso, TX 79930-4211 | 2007-01-29 |
1366592693 | Mario Di Biase | Psychologist | 7001 Westwind Dr Ste 170, El Paso, TX 79912-1778 | 2007-01-11 |
1407467780 | Javier Carrillo, Phd. Pllc | Psychologist | 2300 George Dieter Dr, El Paso, TX 79936-3963 | 2020-08-11 |
1942773072 | Westwind Psychological Services, Pllc | Psychologist | 7001 Westwind Dr Ste 170, El Paso, TX 79912-1778 | 2019-01-11 |
1093281172 | Patrie Cherrelle Williams | Psychologist | 5001 N Piedras St, El Paso, TX 79930-4210 | 2018-10-16 |
1043739402 | Melanie Longhurst | Psychologist | 4615 Alameda Ave, El Paso, TX 79905 | 2017-09-16 |
Find all providers in EL PASO |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.