STACY ERIN CLARK SMALL (NPI# 1083881742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083881742 |
| Entity Type | Individual |
| Full Name | STACY ERIN CLARK SMALL |
| Credential | MFT |
| Practice Address |
6600 Bruceville Rd Sacramento CA 95823-4671 |
| Mailing Address |
5240 Jackson Street North Highlands CA 95660 |
| Practice Telephone | 2792002802 |
| Practice Fax Number | 8777384262 |
| Mailing Telephone | 9163381001 |
| Mailing Fax Number | 9163381001 |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2020-04-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 50473 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407078397 | Stacy Ann Small | Speech-Language Pathologist | 4020 Hendersonville Road Ste. B, Fletcher, NC 28732 | 2007-05-02 |
| Street Address |
6600 BRUCEVILLE RD |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95823-4671 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548254295 | Lon Jacobus Taff | Obstetrics & Gynecology | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2005-09-08 |
| 1770195232 | Alexi Taylor Spoto | Pharmacist | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2020-08-17 |
| 1134747306 | Poline Chhun Engeman X | Nurse Practitioner | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2020-07-13 |
| 1659904365 | Regan Watson | Nurse Practitioner | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2020-02-20 |
| 1740813443 | Caitlin Elizabeth Galvez | Physical Therapist | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2020-02-20 |
| 1750912119 | Maria Monserrat Perez | Registered Nurse | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2020-02-03 |
| 1699312645 | Kayla Renee Hazel | Speech-Language Pathologist | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2019-12-09 |
| 1366087553 | Michelle Schiltz | Registered Nurse | 6600 Bruceville Rd, Sacramento, CA 95823 | 2019-11-12 |
| 1013564145 | Katheirne Anne Lloyd | Dietitian, Registered | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2019-08-22 |
| 1699320077 | Sarah Lackey | Physical Therapist | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2019-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396343422 | Renee Yvonne Friesner | Registered Nurse | 6965 65th Street, Sacramento, CA 95823 | 2020-10-12 |
| 1790392165 | Amanda Moore | Technician | 6445 Village Center Dr, Building 7 Apt 101, Sacramento, CA 95823 | 2020-09-29 |
| 1114562766 | Daniel & Max, LLC | Optometrist | 4200 Florin Road, Suite C, Florin, CA 95823 | 2019-11-07 |
| 1396393823 | Lannon Hope Gustafson | Counselor | 8573 E Southgate Dr., Sacramento, CA 95823 | 2019-08-28 |
| 1932768280 | Sprenger Behavioral Medicine, Inc | Psychiatry & Neurology | 7601 Hospital Drive Suite 202, Suite 202, Sacramento, CA 95823 | 2019-06-11 |
| 1306316880 | Evin Johnson | Case Manager/Care Coordinator | 7000 Franklin Blvd Suite 625, Sacramento, CA 95823 | 2018-11-28 |
| 1902373095 | Alexandra L Bourcy | Family Medicine | 7275 E Southgate Dr Ste 204-206, Sacramento, CA 95823 | 2018-10-27 |
| 1891298923 | Nicholas Joseph Henderson | Behavior Technician | 6500 47th Street Apt#76, Sacramento, CA 95823 | 2018-03-15 |
| 1427567098 | Luz Maria Udave | Behavior Technician | 5435 Mack Rd Apt 87, Sacramento, CA 95823 | 2017-09-26 |
| 1417474743 | Elizabeth Smithers | Behavior Technician | 5545 Sky Parkway #202, Sacramento, CA 95823 | 2017-08-28 |
| Find all providers in zip 95823 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750982229 | Kira Schetter | Marriage & Family Therapist | 2 Lido Cir, Sacramento, CA 95826-1613 | 2020-11-02 |
| 1730788829 | Amanda Lee Morgan | Marriage & Family Therapist | 3650 Auburn Blvd Ste 208c, Sacramento, CA 95821-2069 | 2020-10-20 |
| 1548878853 | John Wunderley | Marriage & Family Therapist | 5311 D St, Sacramento, CA 95819-3011 | 2020-07-22 |
| 1871115881 | Stacia Ponce | Marriage & Family Therapist | 5332 Calistoga Way, Sacramento, CA 95841-2104 | 2020-05-12 |
| 1376164566 | Kirsten Leitner, Licensed Marriage & Family Therapist, A Prof. Corp. | Marriage & Family Therapist | 2830 I St Ste 306, Sacramento, CA 95816-4311 | 2020-04-29 |
| 1558990317 | Dr. J. Marriage & Family Therapy Inc. | Marriage & Family Therapist | 9845 Horn Rd Ste 190, Sacramento, CA 95827-1948 | 2020-04-03 |
| 1578197257 | Christopher Quiery | Marriage & Family Therapist | 3741 Bridgehaven Way, Sacramento, CA 95834-1677 | 2020-03-03 |
| 1881239333 | Deborah Kjeldsen | Marriage & Family Therapist | 1731 I St Ste 202, Sacramento, CA 95811-3001 | 2019-11-08 |
| 1457993172 | Melissa Alvarez Fernandez | Marriage & Family Therapist | 4438 62nd St, Sacramento, CA 95820-4242 | 2019-10-15 |
| 1942850359 | Paul Hyppolite | Marriage & Family Therapist | 10 Tanfield Ct, Sacramento, CA 95833-2602 | 2019-09-17 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95823 |
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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.