DAVID EDWIN STETSON (NPI# 1093896318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093896318 |
Entity Type | Individual |
Full Name | DAVID EDWIN STETSON |
Credential | PHD, PSYCHOL |
Practice Address |
1615 S 1st Ave Safford AZ 85546-2103 |
Mailing Address |
489 N Arroyo Blvd Nogales AZ 85621-2644 |
Practice Telephone | 9284284550 |
Practice Fax Number | 9284284588 |
Mailing Telephone | 5202874713 |
Mailing Fax Number | 5202879794 |
Enumeration Date | 2006-10-17 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
PSYCHOL 3521 | AZ | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | AZ AHCCCES | 970382 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114125150 | David Earl Stetson | Social Worker | 63833 O B Riley Rd, Bend, OR 97701-8140 | 2007-07-10 |
1588018006 | David Stetson | Registered Nurse | 940 E 8th St, Traverse City, MI 49686-2893 | 2016-04-21 |
Street Address |
1615 S 1ST AVE |
City | SAFFORD |
State | AZ |
Zip Code | 85546-2103 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134117047 | Southeastern Arizona Behavioral Health Services, Inc. | Public Health or Welfare | 1615 S 1st Ave, Safford, AZ 85546-2103 | 2005-10-13 |
1144755182 | Canyonlands Community Health Care | Clinic/Center | 1615 S 1st Ave, Safford, AZ 85546-2103 | 2017-04-27 |
1376853358 | Mark Smith | Marriage & Family Therapist | 1615 S 1st Ave, Safford, AZ 85546-2103 | 2010-10-08 |
1992969679 | Kathryn Shepherd | Registered Nurse | 1615 S 1st Ave, Safford, AZ 85546-2103 | 2008-07-11 |
1184746364 | Robert William Sommer | Psychiatry & Neurology | 1615 S 1st Ave, Safford, AZ 85546-2103 | 2007-04-06 |
1184716276 | Sharon Ann Wysocki | Social Worker | 1615 S 1st Ave, Safford, AZ 85546-2103 | 2006-09-28 |
1568475416 | Patrick Metz | Counselor | 1615 S 1st Ave, Safford, AZ 85546-2103 | 2006-08-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104449628 | The Pain Institute of Southern Arizona PC | Anesthesiology | 2241 W 16th Street, Safford, AZ 85546 | 2020-05-19 |
1114490836 | Ponderosa Aviation, Inc | Ambulance | 4500 Aviation Way, Safford, AZ 85546 | 2019-01-04 |
1053828160 | Easter Seals Blake Foundation | Community/Behavioral Health | 618 South Central Avenue, Safford, AZ 85546 | 2018-01-10 |
1508238700 | Southeastern Arizona Consumer-run Services | Clinic/Center | 628 Main St., Safford, AZ 85546 | 2015-10-27 |
1457774465 | Caring Connections for Special Needs, LLC | Community/Behavioral Health | 1952 W Thatcher Blvd, Safford, AZ 85546 | 2014-01-27 |
1841634060 | Rs5 Investments LLC | Family Medicine | 1515 S. 20th Ave, Safford, AZ 85546 | 2013-04-18 |
1689946162 | South Eastern Arizona Behavioral Health Services, Inc. | Clinic/Center | 1609 S. 1st Ave, Safford, AZ 85546 | 2012-01-31 |
1669741435 | Southeastern Arizona Behavioral Health Services, Inc | Clinic/Center | 1609 S 1st Ave, Safford, AZ 85546 | 2011-12-22 |
1912295106 | Canyonlands | Clinic/Center | 618 S. Central Avenue, Safford, AZ 85546 | 2011-07-21 |
1255669354 | Dovetree Counseling Associates, Inc. | Community/Behavioral Health | 1906 Thatcher Blvd, Safford, AZ 85546 | 2009-12-01 |
Find all providers in zip 85546 |
Taxonomy Code | 2084N0402X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Neurology with Special Qualifications in Child Neurology |
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356892202 | Melanie B Alarcio, Md, Pllc | Psychiatry & Neurology | 4921 E Bell Rd Ste 203, Scottsdale, AZ 85254-6002 | 2016-10-16 |
1801900584 | Vinodh Narayanan | Psychiatry & Neurology | 3330 N 2nd St Ste 402, Phoenix, AZ 85012 | 2006-08-18 |
1679574362 | Harvey G. Goodman | Psychiatry & Neurology | 5610 E Grant Rd, Tucson, AZ 85712-2239 | 2005-08-03 |
1790256089 | Az Neurorecovery Treatment Innovation Center, LLC | Psychiatry & Neurology | 2812 N Norwalk Ste 10-119, Mesa, AZ 85215-1148 | 2018-12-11 |
1871835918 | Jennifer Ashley Heim | Psychiatry & Neurology | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2013-03-26 |
1982946299 | Deepali D Eksambe | Psychiatry & Neurology | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2013-03-25 |
1881952794 | Jordana Fox Kensicki | Psychiatry & Neurology | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2012-04-28 |
1770849275 | Kavitha Tirumalasetti Karnik | Psychiatry & Neurology | 1919 E Thomas Rd, Phoenix, AZ 85016 | 2012-04-09 |
1518250224 | Apnna - Arizona Pediatric Neurology & Neurogenetics Associates | Psychiatry & Neurology | 222 W Thomas Rd, Suite 406, Phoenix, AZ 85013-4419 | 2011-05-27 |
1396037644 | Brian Leonard Appavu | Psychiatry & Neurology | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2011-05-04 |
Find all providers with the same taxonomy |
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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.