MISS AMY MARIE STACK (NPI# 1619101227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619101227 |
| Entity Type | Individual |
| Full Name | MISS AMY MARIE STACK |
| Credential | LPC |
| Practice Address |
70 Pine St Waterbury CT 06710-2169 |
| Practice Telephone | 2035971935 |
| Practice Fax Number | 2035978711 |
| Mailing Telephone | 2035971935 |
| Mailing Fax Number | 2035978711 |
| Enumeration Date | 2009-05-11 |
| Last Update Date | 2009-05-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
001599 | CT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528332566 | Amy Beth Stack | Counselor | 1025 Hermosa Dr Se, Albuquerque, NM 87108-4312 | 2012-03-07 |
| 1063432037 | Amy H Stack | Registered Nurse | 10 Tri Park Way, Appleton, WI 54914-1658 | 2006-07-20 |
| Street Address |
70 PINE ST |
| City | WATERBURY |
| State | CT |
| Zip Code | 06710-2169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881066355 | Craig Rebecca Schiavone | Student in an Organized Health Care Education/Training Program | 70 Pine St, Waterbury Clinical Services, Waterbury, CT 06710-2169 | 2015-10-23 |
| 1457747982 | Sylvia G Santos | Physician Assistant | 70 Pine St, Waterbury Clinical Services, Waterbury, CT 06710-2169 | 2015-04-10 |
| 1598153124 | Michelle Wright | Counselor | 70 Pine St, Waterbury, CT 06710-2169 | 2015-01-06 |
| 1245632967 | Ashley W Walker | Student in an Organized Health Care Education/Training Program | 70 Pine St, Waterbury, CT 06710-2169 | 2014-09-24 |
| 1104267798 | Kimberly A Rinko | Social Worker | 70 Pine St, Waterbury, CT 06710-2169 | 2013-07-10 |
| 1598105439 | Eugenia M Brockett | Marriage & Family Therapist | 70 Pine St, Pine St School Based, Waterbury, CT 06710-2169 | 2013-06-25 |
| 1780925586 | Lauren Harkins | Counselor | 70 Pine St, Waterbury Clinical Services, Waterbury, CT 06710-2169 | 2013-03-05 |
| 1780936088 | Lamond T Daniels | Social Worker | 70 Pine St, Waterbury, CT 06710-2169 | 2012-10-10 |
| 1073871851 | Tasha E Lott | Social Worker | 70 Pine St, Waterbury Clinical Services, Waterbury, CT 06710-2169 | 2012-04-30 |
| 1366696569 | Marcey Jan Rizzetta | Counselor | 70 Pine St, Waterbury, CT 06710-2169 | 2008-11-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417511718 | Michael A Mastroianni | Pharmacist | Stolls Pharmacy Inc, 185 Grove St, Waterbury, CT 06710 | 2019-04-23 |
| 1508127598 | Brenda Mcleod | Technician, Pathology | 150 Manhan St Bldg 8 Unit 5, Waterbury, CT 06710 | 2012-06-06 |
| 1659536936 | Michelle Gomes Ferreira-machado | Social Worker | 34 Murray St., Family Services of Greater Watebury, Waterbury, CT 06710 | 2008-07-25 |
| 1588699557 | Adriane Guerin | Physician Assistant | 179 Roseland Ave, Waterbury, CT 06710 | 2006-07-11 |
| 1013311554 | Chelsey Micciche | Student in an Organized Health Care Education/Training Program | 34 Murray Street, Waterbury, CT 06710 | 2014-10-13 |
| 1972905321 | Carmen Woodcock | Student in an Organized Health Care Education/Training Program | 34 Murray Street, Waterbury, CT 06710 | 2014-09-17 |
| 1841597663 | Avis Foster | Student in an Organized Health Care Education/Training Program | 34 Murray St., Waterbury, CT 06710 | 2011-02-14 |
| 1528364783 | Quiana Scott | Student in an Organized Health Care Education/Training Program | 34 Murray St., Waterbury, CT 06710 | 2011-02-07 |
| 1063716363 | Natalie Luciano | Student in an Organized Health Care Education/Training Program | 34 Murray St., Waterbury, CT 06710 | 2010-12-29 |
| 1134423437 | Mildred Figueroa | Social Worker | 34 Murray St., Waterbury, CT 06710 | 2010-12-29 |
| Find all providers in zip 06710 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396359212 | Puja Senning | Counselor | 372 Pollander Rd, Waterbury, VT 05676-9428 | 2020-09-08 |
| 1922568914 | Bags Foundation Ct Inc | Counselor | 135 E Liberty St, Waterbury, CT 06706-1301 | 2019-03-25 |
| 1043759046 | Ann Gannon | Counselor | 567 S Pinnacle Ridge Rd, Waterbury, VT 05676-9623 | 2017-02-23 |
| 1780120295 | Melitza Velez | Counselor | 80 Prospect St., Waterbury, CT 06702 | 2017-01-09 |
| 1467813600 | Ashley Joseph | Counselor | 30 Holmes Ave, Waterbury, CT 06702 | 2016-03-16 |
| 1982090130 | Alice Forestier | Counselor | 23 Dinatali Dr, Waterbury, CT 06705-3702 | 2015-04-14 |
| 1992196984 | Neelam Asghar-sarwar | Counselor | 74 Buckingham St, Waterbury, CT 06710-1908 | 2015-02-11 |
| 1922403534 | Tiffany Thompson | Counselor | 26 Hidden Pond Rd, Waterbury, CT 06704-1245 | 2014-10-24 |
| 1710380019 | Chananya Abraham | Counselor | 32 Hillside Ave, Waterbury, CT 06710-2217 | 2014-09-30 |
| 1215337423 | Channa Schnitzler | Counselor | 104 Blueridge Drive Ext, Waterbury, CT 06704-6122 | 2014-08-26 |
| Find all providers in WATERBURY | ||||
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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.