CHARLES JACOB STOCKWELL (NPI# 1750914792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750914792 |
Entity Type | Individual |
Full Name | CHARLES JACOB STOCKWELL |
Practice Address |
2473 Bench Reef Pl Henderson NV 89052-5202 |
Practice Telephone | 7026728434 |
Mailing Telephone | 7026728434 |
Enumeration Date | 2020-02-18 |
Last Update Date | 2020-02-20 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376617308 | Charles Lee Stockwell | Optometrist | 3601 4th St # 2a100, Lubbock, TX 79430-3530 | 2006-11-20 |
Street Address |
2473 BENCH REEF PL |
City | HENDERSON |
State | NV |
Zip Code | 89052-5202 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740889112 | Nathan Michael Nasternak | Physical Therapist | 750 Coronado Center Drive, Suite 140, 2212, Henderson, NV 89052 | 2020-10-18 |
1558987180 | Braxton Chad Storm | Counselor | 2990 W. Sundridge Heights Pkwy, Suite #140, Henderson, NV 89052 | 2020-06-19 |
1558996546 | The Eye Doctor At St. Rose LLC | Eyewear Supplier (Equipment, not the service) | 2645 St. Rose Parkway, Suite C-110, Henderson, NV 89052 | 2020-03-10 |
1770138521 | Quinn Dentists of St. Rose, PC | Dentist | 3519 St Rose Parkway, Ste 110, Henderson, NV 89052 | 2019-08-08 |
1346802568 | Rickie Kwong Chin Jr. | Optometrist | 695 S. Green Valley Pkwy, Henderson, NV 89052 | 2019-07-08 |
1134695646 | Nu Smiles, LLC | Clinic/Center | 2810 W. Horizon Ridge Parkway, Suite #110, Henderson, NV 89052 | 2018-10-23 |
1003393497 | Katherine Lee Villarreal | Physical Therapist | 2930 W Horizon Pkwy, Suite 205, Henderson, NV 89052 | 2018-07-27 |
1790281889 | Vicki Lorraine Schmidt | Nurse Practitioner | 2900 W. Horizon Ridge Pkwy, Suite 101, Henderson, NV 89052 | 2018-04-05 |
1326566969 | Shelby Schiller | Social Worker | 3051 W Horizon Ridge Pkwy Ste 104a, Henderson, NV 89052 | 2017-09-04 |
1639696826 | Pca Ventures, LLC | Technician | 2656 Soda Butte Court, Henderson, NV 89052 | 2017-08-28 |
Find all providers in zip 89052 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932708310 | Heather Adams | Counselor | 915 Alper Center Dr Unit 3205, Henderson, NV 89052-1539 | 2020-10-18 |
1023627734 | Nicole R Vaughn Changing Minds | Counselor | 1070 Wigwam Pkwy Ste 120, Henderson, NV 89074-8193 | 2020-07-28 |
1710505722 | Christopher Flynn II | Counselor | 540 W Horizon Ridge Pkwy, Henderson, NV 89012-5202 | 2020-07-07 |
1558987180 | Braxton Chad Storm | Counselor | 2990 W. Sundridge Heights Pkwy, Suite #140, Henderson, NV 89052 | 2020-06-19 |
1215551841 | Jacqueline Marie Villalobos | Counselor | 1404 Blaine Ranch St, Henderson, NV 89012-4805 | 2020-05-29 |
1184260788 | Nathaniel Jacob Minetto | Counselor | 375 N Stephanie St # 8, Henderson, NV 89014-8771 | 2019-11-19 |
1225692965 | Jeannette Alina Cabagua | Counselor | 724 Bollons Island St, Henderson, NV 89002-0966 | 2019-04-29 |
1952862542 | Pervin N/a Gupta | Counselor | 2535 Binary Stars St, Henderson, NV 89044-4427 | 2019-03-27 |
1194289710 | Ernest Griego | Counselor | 2050 S Magic Way Spc 130, Henderson, NV 89002-8636 | 2019-01-28 |
1538633839 | Christina Noel Mellenberger | Counselor | 512b Deer Dr, Henderson, TN 38340-7116 | 2019-01-20 |
Find all providers in HENDERSON |
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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.