STAYCE DOUGHERTY (NPI# 1730497686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730497686 |
| Entity Type | Individual |
| Full Name | STAYCE DOUGHERTY |
| Other Name | STAYCE FAVREAU |
| Credential | LMHC |
| Practice Address |
11 Wood Street Southwick MA 01077 |
| Practice Telephone | 4134788871 |
| Mailing Telephone | 4132077465 |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2020-09-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
9130 | MA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 1300881 | 05 |
| Street Address |
11 WOOD STREET |
| City | SOUTHWICK |
| State | MA |
| Zip Code | 01077 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619466554 | Kathleen Marie Angco-vieweg | Social Worker | 24 Laro Rd, Southwick, MA 01077 | 2018-05-07 |
| 1598984866 | Laura Marie Battistoni | Durable Medical Equipment & Medical Supplies | 549 College Highway, Southwick, MA 01077 | 2007-04-25 |
| 1669511754 | Thomas J Borek | Dentist | 603 College Highway, Southwick, MA 01077 | 2007-02-05 |
| 1669546818 | James G Capurso | Dentist | 610 College Highway, Southwick, MA 01077 | 2006-11-20 |
| 1427066042 | Albert S Klautky | Surgery | 6 Depot St, Southwick, MA 01077 | 2006-08-03 |
| 1578559779 | Samuel J. Mazza | Surgery | 6 Depot Street, Southwick, MA 01077 | 2005-09-22 |
| 1427319243 | Kimberly L Miller | Occupational Therapist | 101 Wason Ave, Springfield, MA 01077 | 2012-06-07 |
| 1023215035 | Samuel J Mazza M.d. Inc. | Surgery | 6 Depot Street, Southwick, MA 01077 | 2007-07-02 |
| 1396718912 | Albert S Oh | Internal Medicine | 800 College Hwy, Westfield Medical Coropation, Southwick, MA 01077 | 2006-02-13 |
| 1740307842 | Joseph J Garlo Jr. | Pharmacist | 519 College Highway, Southwick, MA 01077-0118 | 2007-03-23 |
| Find all providers in zip 01077 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033751821 | Linda M. Maiolo-methe | Counselor | 3 Alcove Rd, Southwick, MA 01077-9808 | 2019-10-13 |
| 1275758195 | Cyd Dispenza | Counselor | 66c Congamond Rd, Southwick, MA 01077-9404 | 2007-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596703 | Courtney Rose Bieda | Counselor | 1340 Washington St Apt 3, Weymouth, MA 02189-2360 | 2020-10-21 |
| 1023617339 | Meghan Earle | Counselor | 1354 Hancock St Ste 214, Quincy, MA 02169-5109 | 2020-10-19 |
| 1104425420 | Mindful Path Therapy LLC | Counselor | 163 Highland Ave # 1057, Needham, MA 02494-3025 | 2020-10-19 |
| 1184222531 | Antoinett Gomes | Counselor | 11 Battles St Apt 3, Brockton, MA 02301-2236 | 2020-10-16 |
| 1710585252 | Andrada Mihaila | Counselor | 120 Maple St Ste 301, Springfield, MA 01103-2216 | 2020-10-16 |
| 1780282335 | Susan Warren | Counselor | Martha's Vineyard Community Services, 111 Edgartown Rd, Oak Bluffs, MA 02557 | 2020-10-15 |
| 1831797646 | Paula Arrigg | Counselor | 175 Dwight Road, Longmeadow, MA 01106 | 2020-10-14 |
| 1790383693 | Bowlight Partners LLC | Counselor | 32 Edgewood Rd, Lexington, MA 02420-3500 | 2020-10-13 |
| 1316545510 | Leonard Paul Dagesse | Counselor | 51 Gladstone St, Brockton, MA 02302-3338 | 2020-10-12 |
| 1659979847 | Melina Canter | Counselor | 581 Pleasant St Apt 2r, Holyoke, MA 01040-2368 | 2020-10-12 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on STAYCE DOUGHERTY.
| 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.