DR. THOMAS M. STALLONE (NPI# 1144296104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144296104 |
Entity Type | Individual |
Full Name | DR. THOMAS M. STALLONE |
Credential | PSY.D. |
Practice Address |
100 E 13th St Suite 105 Vancouver WA 98660-3326 |
Mailing Address |
100 East 13th Street Suite 105 Vancouver WA 98660-3327 |
Practice Telephone | 3606961646 |
Practice Fax Number | 3605718460 |
Mailing Telephone | 3606961646 |
Mailing Fax Number | 3605718460 |
Enumeration Date | 2006-02-28 |
Last Update Date | 2007-07-09 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 103G00000X | Clinical Neuropsychologist | PY1974 | WA | Behavioral Health & Social Service Providers |
X | 103TC0700X |
Psychologist Specialization: Clinical |
PY1974 | WA | Behavioral Health & Social Service Providers |
X | 103TH0100X |
Psychologist Specialization: Health Service |
PY1974 | WA | Behavioral Health & Social Service Providers |
Street Address |
100 E 13TH ST SUITE 105 |
City | VANCOUVER |
State | WA |
Zip Code | 98660-3326 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073900403 | Robert K. Burlingame, M.d., P.C. | Psychiatry & Neurology | 100 E 13th St, Suite 101, Vancouver, WA 98660-3326 | 2015-04-23 |
1154558666 | William Lawrence Dehen | Nurse Practitioner | 100 E 13th St, Ste 101, Vancouver, WA 98660-3326 | 2009-06-11 |
1922108984 | Robert Kelley Burlingame | Psychiatry & Neurology | 100 E 13th St, Ste. 101, Vancouver, WA 98660-3326 | 2006-09-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538779137 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 781 W Columbia Way, Vancouver, WA 98660 | 2020-08-07 |
1538641527 | Melissa Molly Sivaram | Counselor | 1012 Esther St, Vancouver, WA 98660 | 2018-09-05 |
1679082598 | Christopher Lewis Schwab | Peer Specialist | 5197 Nw Lower River Rd, Vancouver, WA 98660 | 2017-09-22 |
1023560141 | Disabled Veterans Hawaii LLC | Durable Medical Equipment & Medical Supplies | 4817 Nw Fruit Valley Road, Suite 100, Vancouver, WA 98660 | 2016-10-25 |
1023493004 | Laura Nicole Wood | Counselor | 1104 Main St Ste M100, Vancouver, WA 98660 | 2015-07-20 |
1790034627 | Clark County Juvenile Court | Marriage & Family Therapist | 500 W 11th Street, Vancouver, WA 98660 | 2012-09-06 |
1538439104 | Hutton Chiropractic Clinic Inc | Chiropractor | 703 Broadway Street, Ste 650, Vancouver, WA 98660 | 2012-01-12 |
1134422629 | Brenda Marie Bible | Social Worker | 101 E 8th St Ste 110, Vancouver, WA 98660 | 2010-12-06 |
1871895409 | Donna L Benedicktus | Contractor | 210 E Evergreen Blvd, Vancouver, WA 98660 | 2010-12-02 |
1992007801 | Peter Ray Hasemeier | Massage Therapist | 805 Broadway St., Vancouver, WA 98660 | 2010-11-29 |
Find all providers in zip 98660 |
Taxonomy Code | 103G00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Clinical Neuropsychologist |
An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679663371 | Sare Jennifer Akdag | Clinical Neuropsychologist | Bcch-psychology Department, 4480 Oak Street, Vancouver, BRITISH COLUMBIA V6H 3V4 | 2006-10-13 |
1902899131 | Linda Conaway | Clinical Neuropsychologist | 9330 Ne Vancouver Mall Drive, Suite 203, Vancouver, WA 98662 | 2005-08-23 |
1295111821 | Caroline Jennifer Grantz | Clinical Neuropsychologist | 1101 Broadway St, Suite 230, Vancouver, WA 98660-3268 | 2015-08-05 |
1033325501 | Markee & Moore Psychologists, Inc | Clinical Neuropsychologist | 2009 F Street, Vancouver, WA 98663 | 2007-05-14 |
1215143821 | Lawrence Harold Moore | Clinical Neuropsychologist | 2009 F Street, Vancouver, WA 98663-3345 | 2007-05-14 |
1760604631 | Dani Barrett Nierenberg | Clinical Neuropsychologist | 2621 Ne 134th St, Suite 340, Vancouver, WA 98686-3036 | 2007-05-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841757010 | Corianne Raychael Lawrence | Clinical Neuropsychologist | 112 N 14th St, Selah, WA 98942-1713 | 2019-02-25 |
1588138333 | Mynd Group LLC | Clinical Neuropsychologist | 1066 View Ridge Dr, Oak Harbor, WA 98277-8265 | 2019-01-15 |
1588163208 | Johanah Y Kang | Clinical Neuropsychologist | 2013 South 19th Street, Tacoma, WA 98405 | 2018-02-08 |
1669850681 | Neuropsychological Services of The South Sound LLC | Clinical Neuropsychologist | 2620 R W Johnson Rd Sw Ste 204, Tumwater, WA 98512-6133 | 2015-05-11 |
1710372412 | Daniela Ferdico | Clinical Neuropsychologist | 2101 112th Ave Ne, Suite 100, Bellevue, WA 98004-2944 | 2015-03-31 |
1689069502 | Erica K Johnson | Clinical Neuropsychologist | 19000 33rd Ave W Ste 100, Lynnwood, WA 98036-4750 | 2015-03-30 |
1659776474 | Rodger Meinz | Clinical Neuropsychologist | 12712 Admiralty Way, B-101, Everett, WA 98204-5562 | 2014-10-23 |
1952704413 | Brad Tyson | Clinical Neuropsychologist | 12039 Ne 128th St Fl 3, Kirkland, WA 98034-3029 | 2014-09-29 |
1649694662 | Kelly L Crenshaw | Clinical Neuropsychologist | 12 Bellwether Way Ste 240, Bellingham, WA 98225-2959 | 2014-02-11 |
1508289299 | Neuropsychology and Cognitive Health | Clinical Neuropsychologist | 1808 Richards Rd #120, Bellevue, WA 98005-3982 | 2014-01-30 |
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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.