STAN EASTIN, ED.D., PA (NPI# 1700021375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700021375 |
| Entity Type | Organization |
| Organization Name | STAN EASTIN, ED.D., PA |
| Other Organization Name | EASTIN ENTERPRISES |
| Practice Address |
320 Osuna Rd Ne Building H, Suite 4 Albuquerque NM 87107-5952 |
| Practice Telephone | 5053452778 |
| Mailing Telephone | 5053452778 |
| Enumeration Date | 2008-12-10 |
| Last Update Date | 2008-12-10 |
| Authorized Official Name | DR. STANLEY BRENT EASTIN (PRESIDENT) |
| Authorized Official Telephone | 5053452778 |
| Authorized Official Credential | ED.D., P.A. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | NM 447 | NM | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | N0286 | 05 |
| Other Name | Type Code |
|---|---|
| Eastin Enterprises | Former Legal Business Name - Organization |
| Street Address |
320 OSUNA RD NE BUILDING H, SUITE 4 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87107-5952 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528132263 | Diane Leclair Shafer Dekker | Psychologist | 320 Osuna Rd Ne, Suite H, Albuquerque, NM 87107-5952 | 2006-11-17 |
| 1053860585 | Rebecca Frock Ma, Lpcc | Preferred Provider Organization | 320 Osuna Rd Ne, Suite 4h, Albuquerque, NM 87107-5952 | 2016-09-26 |
| 1144778671 | Stephanie Porter | Community/Behavioral Health | 320 Osuna Rd Ne, Ste H-4, Albuquerque, NM 87107-5952 | 2016-09-13 |
| 1396199964 | Stephanie Porter | Marriage & Family Therapist | 320 Osuna Rd Ne, Ste H-4, Albuquerque, NM 87107-5952 | 2016-04-19 |
| 1407222581 | Danielle Macawile, Lcsw, LLC | Community/Behavioral Health | 320 Osuna Rd Ne, Suite G-3, Office 1, Albuquerque, NM 87107-5952 | 2015-08-12 |
| 1356404438 | Janice Gjertson | Counselor | 320 Osuna Rd Ne, Ste A, Albuquerque, NM 87107 | 2006-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619589785 | Benjamin Argant | Behavior Technician | 331 Candelaria Road North East Suite A, Albuquerque, NM 87107 | 2020-08-20 |
| 1679138861 | Susan Luna, Lpcc LLC | Counselor | 3221 B Candelaria Ne, Albuquerque, NM 87107 | 2019-05-03 |
| 1407310881 | Eleanor Cloe Tibbetts | Speech-Language Pathologist | 7103 4th St. Nw Chatterbox Speech Therapy, Los Ranchos, NM 87107 | 2019-01-30 |
| 1386174829 | Triple D Medical Transportation, LLC. | Secured Medical Transport (VAN) | 2123 Menaul Blvd Ne Ste B, Albuquerque, NM 87107 | 2017-06-18 |
| 1487100715 | Kayleen Weinandt | Community/Behavioral Health | 3301 Los Arboles Ne, Albuquerque, NM 87107 | 2016-08-28 |
| 1811345549 | Inverse Medical, LLC | Non-emergency Medical Transport (VAN) | 1015 Cottonwood Dr. Suite J, Albuquerque, NM 87107 | 2016-06-03 |
| 1710349220 | Evolv Strong, LLC | Specialist/Technologist | 3201 Candelaria Rd Ne, Albuquerque, NM 87107 | 2016-03-23 |
| 1982072443 | Erik Robinson | Social Worker | 7801 Academy Road, Ne 2-200, Albueruque, NM 87107 | 2015-09-14 |
| 1033505763 | Sam Newmon Ma, Lpcc | Counselor | 320-h Osuna Rd Ne, Suite 4, Albuquerque, NM 87107 | 2015-04-09 |
| 1760896203 | Jocelyn Fiaschetti | Social Worker | 7704 4th Street Nw, Albuquerque, NM 87107 | 2014-06-12 |
| Find all providers in zip 87107 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124637541 | Behavioral Medicine and Assessment of New Mexico LLC | Psychologist | 3520 Calle Cuervo Nw, Albuquerque, NM 87114-9220 | 2020-07-31 |
| 1194287649 | Jennifer Nicole Crawford | Psychologist | Msc09 5030 1 Unm, Albuquerque, NM 87131 | 2019-04-03 |
| 1417425083 | Meredith Lynn Faith | Psychologist | 11109 Elvin Ave Ne, Albuquerque, NM 87112-3231 | 2018-11-12 |
| 1942695903 | Md24 Nm, Inc. | Psychologist | 6565 Americas Parkway Ne #200, Albuquerque, NM 87110 | 2015-04-06 |
| 1932507365 | Reflections Psychological Services, LLC | Psychologist | 3939 San Pedro Dr Ne Bldg C8, Albuquerque, NM 87110-8901 | 2014-12-17 |
| 1457772147 | Candyce Tart | Psychologist | 607 Richmond Dr Ne, Albuquerque, NM 87106-2148 | 2013-12-23 |
| 1043640493 | Kristin Lichtle | Psychologist | 906 Franciscan St Ne, Albuquerque, NM 87102-2416 | 2013-11-22 |
| 1104160910 | Mike Kim | Psychologist | 2900 Louisiana Boulevard Northeast, Suite C1, Albuquerque, NM 87110 | 2012-11-16 |
| 1134473762 | Joseph R Flippo | Psychologist | 2104 Rex Ct Ne, Albuquerque, NM 87112-3661 | 2012-11-05 |
| 1659638195 | Elizabeth Ann-claire Sullivan | Psychologist | 4701 Morris St Ne Apt 601, Albuquerque, NM 87111-7715 | 2012-04-23 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87107 |
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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.