JEANNETTE STARK MYERS (NPI# 1639389372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639389372 |
| Entity Type | Individual |
| Full Name | JEANNETTE STARK MYERS |
| Credential | BCABA |
| Practice Address |
85 Scott Hill Dr Orcas WA 98280-0399 |
| Practice Telephone | 3603763744 |
| Practice Fax Number | 3603763744 |
| Mailing Telephone | 3603763744 |
| Mailing Fax Number | 3603763744 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
0-03-0894 | FL | Behavioral Health & Social Service Providers |
| Street Address |
85 SCOTT HILL DR |
| City | ORCAS |
| State | WA |
| Zip Code | 98280-0399 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801121223 | John A Mazzarella | Internal Medicine | 178 Gibbs Road, Orcas, WA 98280 | 2009-10-04 |
| 1801027768 | Annette J Mazzaarella | General Practice | 178 Gibbs Rd, Orcas, WA 98280 | 2009-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801121223 | John A Mazzarella | Internal Medicine | 178 Gibbs Road, Orcas, WA 98280 | 2009-10-04 |
| 1801027768 | Annette J Mazzaarella | General Practice | 178 Gibbs Rd, Orcas, WA 98280 | 2009-07-27 |
| Taxonomy Code | 103TM1800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Mental Retardation & Developmental Disabilities |
| Definition to come... |
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|---|---|---|---|---|
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| 1124281936 | Helping Hands for The Disabled | Psychologist | 1800 145th Pl Se, Bellevue, WA 98007-6072 | 2008-07-02 |
| 1730365560 | Zhankun Cheng | Psychologist | 9409 B 35th Ave Sw, Seattle, WA 98126 | 2008-01-10 |
| 1568504785 | Robin Theresa Lunsford Sr. | Psychologist | 7658 Trica Ave Ne, Bremerton, WA 98311-4010 | 2007-02-13 |
| 1538726252 | Alta Vista Integrated Life Services | Psychologist | 7282 Stinson Ave Ste B, Gig Harbor, WA 98335-4930 | 2019-05-29 |
Please comment or provide details below to improve the information on JEANNETTE STARK MYERS.
| 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.