STACEY LYNN SAMARO (NPI# 1487265450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487265450 |
Entity Type | Individual |
Full Name | STACEY LYNN SAMARO |
Credential | PSYD |
Practice Address |
1601 Constitution Rd Pueblo CO 81001-2132 |
Mailing Address |
933 E Phillips Ln Littleton CO 80122-2986 |
Practice Telephone | 8883656271 |
Mailing Telephone | 9097259968 |
Enumeration Date | 2020-08-13 |
Last Update Date | 2020-08-13 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY.0005270 | CO | Behavioral Health & Social Service Providers |
Street Address |
1601 CONSTITUTION RD |
City | PUEBLO |
State | CO |
Zip Code | 81001-2132 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376601344 | Frank Allen Patton | Psychologist | 1601 Constitution Rd, Pueblo, CO 81001-2132 | 2006-12-04 |
1770117822 | Lisa Marie Reed | Social Worker | 1601 Constitution Rd, Pueblo, CO 81001-2132 | 2020-02-27 |
1336604560 | Melissa A Cole | Psychologist | 1601 Constitution Rd, Pueblo, CO 81001-2132 | 2019-02-01 |
1134627573 | Constitution Nursing and Rehabilitation Center LLC | Skilled Nursing Facility | 1601 Constitution Rd, Pueblo, CO 81001-2132 | 2018-01-31 |
1801244736 | Reinalda Hernandez | Social Worker | 1601 Constitution Rd, Pueblo, CO 81001-2132 | 2016-06-01 |
1619115748 | Maria T. Keairnes | Social Worker | 1601 Constitution Rd, Pueblo, CO 81001-2132 | 2009-01-28 |
1255451142 | Ssc Pueblo Belmont Operating Company LLC | Respite Care | 1601 Constitution Rd, Pueblo, CO 81001-2132 | 2007-04-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588222863 | 1111 Bonforte Opco LLC | Respite Care | 855 Hunter Dr., Pueblo, CO 81001 | 2019-06-03 |
1992276026 | Andrew Benjamin Basham | Counselor | 1003 Rupple St Pueblo Co 81001, 606, Pueblo, CO 81001 | 2018-12-16 |
1316456981 | Amy R Leibli | Nurse Practitioner | 1080 Chinook Lane, Pueblo, CO 81001 | 2017-09-26 |
1457781262 | Ron Concialdi | Dentist | 2037 Jerry Murphy Rd., Pueblo, CO 81001 | 2013-11-14 |
1609146950 | Natasha Liette Mondragon | Registered Nurse | 1302 E. 5th, Pueblo, CO 81001 | 2012-01-04 |
1023303575 | Malinda Lee Davis | Registered Nurse | 1302 E 5th, Pueblo, CO 81001 | 2011-06-13 |
1679876429 | Michael Edward Leyba | Substance Abuse Rehabilitation Facility | 4 Montebello Rd., Pueblo, CO 81001 | 2010-12-17 |
1609008796 | Laura Ann Mcmahon | Nurse Practitioner | 4020 Jerry Murphy Rd/, Pueblo, CO 81001 | 2009-08-21 |
1730380882 | Corrine Stella Tafoya | Counselor | 44 Calhoun Rd, Pueblo, CO 81001 | 2007-05-29 |
1518171008 | George Henry Beck | Dentist | 1700 N Salem Ave, Suite A, Pueblo, CO 81001 | 2007-05-10 |
Find all providers in zip 81001 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427542679 | Fisher & Associates, LLC | Psychologist | 113 W 12th St, Pueblo, CO 81003-2808 | 2018-06-20 |
1649409715 | Alfonso Cappa-melendez | Psychologist | 720 N Main St Ste 300, Pueblo, CO 81003-3047 | 2009-07-09 |
1114009198 | Senior Harbors, Inc. | Psychologist | 2118 Chatalet Lane, Pueblo, CO 81005 | 2006-10-19 |
1336604560 | Melissa A Cole | Psychologist | 1601 Constitution Rd, Pueblo, CO 81001-2132 | 2019-02-01 |
1114478245 | Miriam Suzanne Scott | Psychologist | 1600 W 24th St, Pueblo, CO 81003-1411 | 2016-10-24 |
1710436910 | Megan Marks | Psychologist | 315 Colorado Ave, Pueblo, CO 81004-2046 | 2016-09-28 |
1841616083 | Alison Rowland | Psychologist | 1026 W Abriendo Ave, Pueblo, CO 81004-1128 | 2014-03-12 |
1528498078 | Arkansas Peak Psychological Services, Pplc | Psychologist | 503 N Main St, Suite 326, Pueblo, CO 81003-3130 | 2013-11-20 |
1891125407 | David Benson | Psychologist | 503 N Main St, Suite 326, Pueblo, CO 81003-3130 | 2013-11-18 |
1275887424 | Charlotte K Yianakopulos-veatch | Psychologist | 1026 W Abriendo Ave, Pueblo, CO 81004-1128 | 2012-11-08 |
Find all providers in PUEBLO |
Please comment or provide details below to improve the information on STACEY LYNN SAMARO.
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.