STACEY LYNN SAMARO


Address: 1601 Constitution Rd, Pueblo, CO 81001-2132
Phone: 8883656271

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
PSY.0005270 CO Behavioral Health & Social Service Providers

Office Location

Street Address 1601 CONSTITUTION RD
City PUEBLO
State CO
Zip Code 81001-2132

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

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City PUEBLO
Zip Code 81001

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Dataset Information

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.

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