STACEYANN REID (NPI# 1376182881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376182881 |
| Entity Type | Individual |
| Full Name | STACEYANN REID |
| Credential | LMHC |
| Practice Address |
2212 Erie Blvd E Suite C Syracuse NY 13244-0001 |
| Mailing Address |
3070 Belgium Rd Baldwinsville NY 13027-9546 |
| Practice Telephone | 3157201118 |
| Mailing Telephone | 3157201118 |
| Enumeration Date | 2019-12-31 |
| Last Update Date | 2019-12-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
010043 | NY | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3070 Belgium Rd, Baldwinsville, NY 130279546 | 3157201118 |
| Street Address |
2212 ERIE BLVD E SUITE C |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13244-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346657251 | Jessica Lynn Demauro | Physician Assistant | 111 Waverly Avenue, Syracuse, NY 13244 | 2014-07-14 |
| 1922152651 | Beth Ann Binkowski | Internal Medicine | 111 Waverly Ave., Syracuse, NY 13244 | 2007-01-22 |
| 1104287101 | Kathleen Chaney | Specialist/Technologist | 1301 E Colvin, Syracuse, NY 13244-0001 | 2016-03-18 |
| 1760866701 | Anna Bender | Student in an Organized Health Care Education/Training Program | 244 White Hl, Syracuse, NY 13244-0001 | 2015-07-18 |
| 1245638790 | Adelyn Passaro | Specialist/Technologist | 1301 E Colvin St, Syracuse, NY 13244-0001 | 2014-12-16 |
| 1982940672 | Natalie Russo | Psychologist | 403 Huntington Hl, Syracuse University Dept. of Psychology, Syracuse, NY 13244-0001 | 2012-12-27 |
| 1538464417 | Joshua Charles Felver | Psychologist | Syracuse University Ctr, 804 University Ave., Suite 201, Syracuse, NY 13244-0001 | 2011-01-24 |
| 1689808529 | Anita L Lightburn | Speech-Language Pathologist | Gebbie Clinics, 805 S. Crouse Ave., Syracuse, NY 13244-0001 | 2009-05-06 |
| 1811138290 | Kristen L Kennedy | Audiologist | 805 S Crouse Ave, Syracuse, NY 13244-0001 | 2009-03-16 |
| 1619147352 | Tammy Marie Kordas | Audiologist | 805 South Crouse, Room 200, Syracuse, NY 13244-0001 | 2008-03-10 |
| Find all providers in zip 13244 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275168155 | Kristin M Neagle | Counselor | 420 East Genesee St, Syracuse, NY 13202-2129 | 2020-03-11 |
| 1265091375 | Kevin Joseph Roche | Counselor | 32a Ball Rd, Syracuse, NY 13215-1602 | 2019-06-12 |
| 1356905996 | Niccole R Lorenzo | Counselor | 6181 Thompson Rd Ste 803, Syracuse, NY 13206-1435 | 2019-04-29 |
| 1194281972 | Melissa Button | Counselor | 132 Nichols Ave, Syracuse, NY 13206-3045 | 2019-02-16 |
| 1215405287 | Wellness Therapy Services Lcsw, Pllc | Counselor | Wellness Therapy Services Lcsw, Pllc, 404 Oak St. #200, Syracuse, NY 13203 | 2018-11-08 |
| 1033626601 | Daniel Cervantes | Counselor | 46 Ems D18 Ln, Syracuse, IN 46567-7907 | 2018-01-04 |
| 1083165005 | Candy Herbert | Counselor | 375 W. Onondaga St. Suite 10, Syracuse, NY 13202 | 2016-10-14 |
| 1497205975 | Phuong Pham | Counselor | 329 North Salina Street, Syracuse, NY 13203 | 2016-10-10 |
| 1326436700 | Christine Matteson | Counselor | 1600 Teall Ave, Syracuse, NY 13206-3231 | 2015-01-07 |
| 1174930879 | Antoinette Marinelli,lmsw | Counselor | 112 Dewitt St Ste 205a, Syracuse, NY 13203-2892 | 2014-07-15 |
| Find all providers in SYRACUSE | ||||
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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.