DR. SAMUEL R STOCKWELL (NPI# 1528001476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528001476 |
| Entity Type | Individual |
| Full Name | DR. SAMUEL R STOCKWELL |
| Credential | PH.D. |
| Practice Address |
30 Holley St Wakefield RI 02879-3300 |
| Practice Telephone | 4017890963 |
| Practice Fax Number | 4017899063 |
| Mailing Telephone | 4017890963 |
| Mailing Fax Number | 4017899063 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
224 | RI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | UBH | 61-08837 | 01 |
| RI | 9009224 | 05 | |
| RI | BCBS | 9224-7 | 01 |
| RI | TRICARE | 108714 | 01 |
| RI | BEACON | 1020690 | 01 |
| Street Address |
30 HOLLEY ST |
| City | WAKEFIELD |
| State | RI |
| Zip Code | 02879-3300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174708408 | Burrows Mental Health Counseling Inc | Counselor | 30 Holley St, Wakefield, RI 02879-3300 | 2008-01-06 |
| 1013098722 | Rebecca S Dexter | Social Worker | 30 Holley St, Wakefield, RI 02879-3300 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831549435 | Bh Brightview Commons Opco, LLC | Alzheimer Center (Dementia Center) | 57 Grandeville Court, Wakefield, RI 02879 | 2016-06-15 |
| 1215392071 | Leslie Healy | Occupational Therapist | 12 Galleon Ct, Wakefield, RI 02879 | 2015-12-22 |
| 1649673799 | Peter Storti | Clinic/Center | 28 Columbia Street, Wakefield, RI 02879 | 2014-10-03 |
| 1285988790 | Silver Spring Health Care Management, Inc. | Physician Assistant | 70 Kenyon Ave Unit 321, Wakefield, RI 02879 | 2012-11-06 |
| 1013271584 | Amy Lee Barker | Speech-Language Pathologist | 213 Robinson Street, Wakefield, RI 02879 | 2012-06-29 |
| 1366708489 | Paige Houlihan | Student in an Organized Health Care Education/Training Program | 91 Rocky Brook Way St, Wakefield, RI 02879 | 2012-04-03 |
| 1639307176 | Perspectives Corporation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 53 Dockray Street, Wakefield, RI 02879 | 2009-06-23 |
| 1649482233 | Marilyn A. Cooney | Speech-Language Pathologist | 307 Curtis Corner Road, Wakefield, RI 02879 | 2007-05-04 |
| 1518184522 | Keeley Therese Dante-card | Registered Nurse | 55 Cherry Lane, Wakefield, RI 02879 | 2007-04-19 |
| 1679799217 | Codac Inc | Peer Specialist | 350 Columbia St, Codac South County, Wakefield, RI 02879 | 2007-04-18 |
| Find all providers in zip 02879 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699384651 | Kaleb L. Singleton | Psychologist | 32 Grandeville Ct Apt 1017, Wakefield, RI 02879-8212 | 2020-07-27 |
| 1679806053 | Lauren E Roth | Psychologist | 231 Old Tower Hill Rd Ste 203, Wakefield, RI 02879-3708 | 2009-09-16 |
| 1326198136 | William H Costello | Psychologist | 14 Crystal Street, Wakefield, MA 01880 | 2007-01-12 |
| 1205846599 | John J. Gorvin | Psychologist | 7 Lincoln St, Suite 304, Wakefield, MA 01880-3021 | 2006-08-09 |
| 1467430744 | Frances E Demiany | Psychologist | 82 Main St, Wakefield, MA 01880-1022 | 2006-01-06 |
| 1881245256 | Lauren E Brierly | Psychologist | 591 North Ave, Wakefield, MA 01880-1647 | 2019-09-26 |
| 1447636352 | Ancora Psychological, Pllc | Psychologist | 591 North Ave, Door #3, First Floor, Wakefield, MA 01880-1647 | 2015-08-03 |
| 1780085563 | Andrea Lavigne | Psychologist | 24 Salt Pond Rd, D3, Wakefield, RI 02879-4314 | 2014-09-11 |
| 1942530019 | Maleah D Cummings | Psychologist | 103 W Us Highway 2, Wakefield, MI 49968-9515 | 2010-01-12 |
| 1255592044 | South County Behavioral Medicine Inc | Psychologist | 24 Salt Pond Rd, Unit D3, Wakefield, RI 02879-4314 | 2008-06-24 |
| Find all providers in WAKEFIELD | ||||
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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.