MR. GARY EDWARD STUCKY (NPI# 1467894105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467894105 |
| Entity Type | Individual |
| Full Name | MR. GARY EDWARD STUCKY |
| Credential | MA/LP |
| Practice Address |
701 Decatur Ave N Suite 109 Golden Valley MN 55427-4367 |
| Practice Telephone | 7637462400 |
| Practice Fax Number | 7637462401 |
| Mailing Telephone | 7637462400 |
| Mailing Fax Number | 7637462401 |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2013-07-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
1575 | MN | Behavioral Health & Social Service Providers |
| Street Address |
701 DECATUR AVE N SUITE 109 |
| City | GOLDEN VALLEY |
| State | MN |
| Zip Code | 55427-4367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407893498 | Mary Vraney | Psychologist | 701 Decatur Ave N, 109, Golden Valley, MN 55427-4367 | 2006-05-31 |
| 1720501224 | Eowyn Gatlin-nygaard | Social Worker | 701 Decatur Ave N, Golden Valley, MN 55427-4367 | 2017-07-17 |
| 1861844250 | Ashley Jean Crist | Social Worker | 701 Decatur Ave N, Suite 109, Golden Valley, MN 55427-4367 | 2016-07-08 |
| 1144694381 | Diana Maria Loaiza Tangarife | Marriage & Family Therapist | 701 Decatur Ave N, Suite 109, Golden Valley, MN 55427-4367 | 2015-11-28 |
| 1396115598 | Thomas Rand Tucker | Social Worker | 701 Decatur Ave N, Suite 109, Golden Valley, MN 55427-4367 | 2015-09-30 |
| 1699176081 | Headway Emotional Health Services | Social Worker | 701 Decatur Ave N, Suite 109, Golden Valley, MN 55427-4367 | 2014-09-04 |
| 1265870125 | Jill Marie Hubble | Counselor | 701 Decatur Ave N, Suite 109, Golden Valley, MN 55427-4367 | 2013-06-12 |
| 1295006989 | Kristine Marie Kalmoe | Counselor | 701 Decatur Ave N, Suite 109, Golden Valley, MN 55427-4367 | 2012-01-26 |
| 1013286780 | Melia Joy Mccubbin | Social Worker | 701 Decatur Ave N, Suite 109, Golden Valley, MN 55427-4367 | 2011-12-23 |
| 1679806467 | Marc Robert Davis | Marriage & Family Therapist | 701 Decatur Ave N, Suite 109, Golden Valley, MN 55427-4367 | 2009-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952888414 | The Evangelical Lutheran Good Samaritan Society | Assisted Living Facility | 2765 Virginia Avenue N., New Hope, MN 55427 | 2018-07-26 |
| 1386168573 | Tanya Eiffler | Nurse Practitioner | 1415 Lilac Drive N, Golden Valley, MN 55427 | 2017-07-28 |
| 1861856890 | Minnesota Recovery Center L.L.C. | Community/Behavioral Health | 8500 42nd Ave N Suite 100, New Hope, MN 55427 | 2016-04-06 |
| 1790150191 | Constant Care Corporation | Home Health | 1701 Douglas Drive N (change), Suite 224m (change), Golden Valley (change), MN 55427 | 2015-12-10 |
| 1578939344 | Hy Vee Inc | Pharmacy | 8200 42nd Avenue North, New Hope, MN 55427 | 2015-08-17 |
| 1215346416 | Mary Erickson | Physical Therapist | 7505 Country Club Dive, Golden Valley, MN 55427 | 2014-08-13 |
| 1437567682 | Kyle Ryan Sell | Physical Therapist | 8301 Golden Valley Rd #202, Golden Valley, MN 55427 | 2014-07-31 |
| 1710304985 | Healing Hands Home Care LLC | Home Health | 220 Jersey Ave North, Golden Valley, MN 55427 | 2014-03-25 |
| 1871873224 | Amelia Grace Willey | Massage Therapist | 699 Winnetka Avenue North, 202, Golden Valley, MN 55427 | 2011-08-17 |
| 1730402223 | Jennifer Symanietz | Occupational Therapist | 7505 Country Club Drive, Golden Valley, MN 55427 | 2010-03-11 |
| Find all providers in zip 55427 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902364136 | Judy Yang | Psychologist | 1405 Lilac Dr N Ste 200, Golden Valley, MN 55422-4546 | 2019-03-06 |
| 1942695309 | Catherine L. Cronemeyer, Psy.d., L.p., L.L.C. | Psychologist | 5101 Olson Memorial Hwy, Suite 4006, Golden Valley, MN 55422-5149 | 2015-04-02 |
| 1740563337 | Pauline Marie Kaplan | Psychologist | 1415 Lilac Dr N, Suite 190, Golden Valley, MN 55422-4500 | 2011-09-21 |
| 1619134574 | Mark Huttemier | Psychologist | 3915 Golden Valley Road, Courage Center, Golden Valley, MN 55422 | 2008-05-19 |
| 1316118623 | Suzanne Marie Reedy | Psychologist | 6739 Golden Valley Rd, Golden Valley, MN 55427-4618 | 2008-03-13 |
| 1629291968 | Ferris Ann Fletcher | Psychologist | 8085 Wayzata Blvd, Ste 216, Golden Valley, MN 55426-1453 | 2007-04-11 |
| 1164441846 | Peter Eric Olson | Psychologist | 8085 Wayzata Blvd, Suite 216, Golden Valley, MN 55426-1453 | 2006-07-19 |
| 1003809856 | Christian L Babo | Psychologist | 7575 Golden Valley Rd, Suite 230, Golden Valley, MN 55427-4562 | 2005-08-26 |
| 1073506846 | Gary D Vikesland | Psychologist | 7575 Golden Valley Rd, Suite 230, Golden Valley, MN 55427-4562 | 2005-08-26 |
| 1508859372 | Julianne S Zuehlke | Psychologist | 7575 Golden Valley Rd, Suite 230, Golden Valley, MN 55427-4562 | 2005-08-26 |
| Find all providers in GOLDEN VALLEY | ||||
| City | GOLDEN VALLEY |
| Zip Code | 55427 |
Please comment or provide details below to improve the information on MR. GARY EDWARD STUCKY.
| 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.