DR. STEFANIE MARIE KOOL (NPI# 1629386289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629386289 |
| Entity Type | Individual |
| Full Name | DR. STEFANIE MARIE KOOL |
| Credential | PSY.D. |
| Practice Address |
3400 N Dysart Rd Ste 117 Avondale AZ 85392 |
| Mailing Address |
14872 N 142nd Ln Surprise AZ 85379-8726 |
| Practice Telephone | 6235367956 |
| Mailing Telephone | 6233085135 |
| Enumeration Date | 2010-09-16 |
| Last Update Date | 2018-08-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
4140 | AZ | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PTAN | Z196224 | 01 |
| Street Address |
3400 N DYSART RD STE 117 |
| City | AVONDALE |
| State | AZ |
| Zip Code | 85392 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881911055 | Breanne Fahs | Psychologist | 3400 N Dysart Rd Ste 117, Avondale, AZ 85392-1003 | 2010-04-28 |
| 1861991630 | Victoria Weaver | Social Worker | 3400 N Dysart Rd Ste 117, Avondale, AZ 85392 | 2018-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972100063 | Arizona Imaging Center, LLC | Radiology | 10825 W Mcdowell Rd Suite 130, Avondale, AZ 85392 | 2020-10-02 |
| 1376159053 | Quick Med Center LLC | Clinic/Center | 10825 W Mcdowell Rd Suite 100, Avondale, AZ 85392 | 2020-09-18 |
| 1225641046 | Ambulatory Surgery Centers, LLC | Clinic/Center | 10825 W Mcdowell Rd Suite 110, Avondale, AZ 85392 | 2020-08-31 |
| 1144842394 | National Cardiovascular Surgery Center, LLC | Clinic/Center | 10825 W Mcdowell Rd, Suite 310, Avondale, AZ 85392 | 2020-05-11 |
| 1073077145 | Lakeview Dentistry P.C., Inc. | Dentist | 10750 W. Mcdowell Road, Bldg. D410, Avondale, AZ 85392 | 2019-01-23 |
| 1699249458 | Elaine Van De Wille | Student in an Organized Health Care Education/Training Program | 3609 N 109th Ave, Avondale, AZ 85392 | 2019-01-15 |
| 1750890075 | West Valley Pediatrics | Nurse Practitioner | 10750 West Mcdowell Rd, Suite G700, Avondale, AZ 85392 | 2017-09-29 |
| 1336675305 | Hope-ann Kamler | Licensed Practical Nurse | 2150 North Santa Fe Blvd, Avondale, AZ 85392 | 2017-05-11 |
| 1790237527 | Visionworks, Inc | Eyewear Supplier (Equipment, not the service) | 10285 West Mcdowell Rd, Ste A-102, Avondale, AZ 85392 | 2016-10-27 |
| 1063969137 | Lorri Ward | Registered Nurse | 12750 W Coronado Rd, Avondale, AZ 85392 | 2016-09-07 |
| Find all providers in zip 85392 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477025211 | Stefani Ann Morris | Psychologist | 3400 N Dysart Rd # 117, Avondale, AZ 85392-1003 | 2018-12-18 |
| 1881911055 | Breanne Fahs | Psychologist | 3400 N Dysart Rd Ste 117, Avondale, AZ 85392-1003 | 2010-04-28 |
| 1396127197 | Brenda Jean Paluc | Psychologist | 3400 N Dysart Rd, #117, Avondale, AZ 85392-1003 | 2015-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881341 | Barbara C Burt Psyd LLC | Psychologist | 335 Foothills South Dr, Sedona, AZ 86336-5027 | 2020-11-02 |
| 1679173447 | Antonia Marie Garcia | Psychologist | 6262 N Swan Rd Ste 160, Tucson, AZ 85718-3636 | 2020-10-29 |
| 1346847951 | Flourish Mental Wellness, Pllc | Psychologist | 112 N Central Ave Ste M26, Phoenix, AZ 85004-2309 | 2020-10-06 |
| 1235736190 | Tyler Davis LLC | Psychologist | 8607 N 59th Ave Suite C-6, Glendale, AZ 85302 | 2020-10-05 |
| 1164031100 | Karina Fleming | Psychologist | 1173 S Coyote Summit Pl, Tucson, AZ 85745-0003 | 2020-07-27 |
| 1881202042 | Sara L Cole | Psychologist | 3933 E Edna Ave Ste 101, Phoenix, AZ 85032-2127 | 2020-07-14 |
| 1871115311 | Aims-az, LLC | Psychologist | 1346 E. Mcdowell Rd, Phoenix, AZ 85006-2616 | 2020-05-07 |
| 1881222081 | Ronald C Bean | Psychologist | 1699 W Stanford Ave, Gilbert, AZ 85233-2905 | 2020-04-01 |
| 1972139251 | Shirley Yang | Psychologist | 9165 W Thunderbird Rd Ste 201, Peoria, AZ 85381-4847 | 2020-03-18 |
| 1063043776 | John R. Corbett | Psychologist | 4421 E Havasu Rd, Tucson, AZ 85718-2519 | 2020-01-31 |
| Find all providers with the same taxonomy | ||||
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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.