DR. KENNETH STEFANO (NPI# 1780051755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780051755 |
| Entity Type | Individual |
| Full Name | DR. KENNETH STEFANO |
| Practice Address |
6345 Executive Blvd Rockville MD 20852-3905 |
| Practice Telephone | 3017707507 |
| Practice Fax Number | 3017703576 |
| Mailing Telephone | 3017707507 |
| Mailing Fax Number | 3017703576 |
| Enumeration Date | 2015-08-26 |
| Last Update Date | 2015-08-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
3166 | MD | Behavioral Health & Social Service Providers |
| Street Address |
6345 EXECUTIVE BLVD |
| City | ROCKVILLE |
| State | MD |
| Zip Code | 20852-3905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457676470 | Veronica E Cruz | Social Worker | 6345 Executive Blvd, Rockville, MD 20852-3905 | 2010-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740811249 | Christina L. Cervieri Md LLC | Orthopaedic Surgery | Adventist Healthcare Shady Grove Medical Center, 9901 Medical Center Dr, Rockville, MD 20852 | 2020-02-03 |
| 1073161253 | Center for Transformative Care | Clinic/Center | 11140 Rockville Pike, #303, Rockville, MD 20852 | 2019-08-30 |
| 1073160388 | Robin Burgess | Nurse Practitioner | 11750 Old Georgetown Rd Unit 2410, Rockville, MD 20852 | 2019-08-21 |
| 1548722309 | Anne Alexandre | Home Health Aide | 1600 Nebel St, Bethesda, MD 20852 | 2019-04-02 |
| 1043794464 | Jeanne Marie Pantalone | Social Worker | 263 Congressional Lane Apt 605, Rockville, MD 20852 | 2018-09-21 |
| 1538640107 | Jessica Kay Foos | Occupational Therapy Assistant | Hebrew Home of Greater Washington, 6121 Montrose Rd, Rockville, MD 20852 | 2018-08-22 |
| 1447737218 | Sara Haile | Occupational Therapist | Fitness for Health, 11140 Rockville Pike Suite 303, Rockville, MD 20852 | 2018-07-25 |
| 1134605009 | The Center for Conception and Pelvic Surgery, Inc | Clinic/Center | 3202 Tower Oaks Blvd Ste 370b, Rockville, MD 20852 | 2018-07-13 |
| 1598259095 | Monroe Operations, LLC | Clinic/Center | 12300 Twinbrook Pkwy Ste 250, Rockville, MD 20852 | 2018-06-18 |
| 1740771179 | Advanced Practitioner Healthcare Networking, LLC | Clinic/Center | 6246 Montrose Rd, North Bethesda, MD 20852 | 2018-05-22 |
| Find all providers in zip 20852 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750998829 | Anna Elizabeth Pozzatti | Psychologist | 11140 Rockville Pike Ste 530&550e, Rockville, MD 20852-3106 | 2020-09-23 |
| 1871736991 | Lisa Ann Lenhart | Psychologist | 100 Park Ave., Suite 105, Rockville, MD 20850 | 2009-04-20 |
| 1700378296 | Isaac M Friedman | Psychologist | 7300 Calhoun Pl Ste 700, Rockville, MD 20855-3702 | 2018-05-31 |
| 1447792494 | Anna Crisologo | Psychologist | 12301 Academy Way, Rockville, MD 20852-2000 | 2016-11-08 |
| 1457601635 | Joan Marie Donahue | Psychologist | 6155 Executive Blvd, Rockville, MD 20852-3901 | 2012-09-14 |
| 1568766988 | Charles Wilbert Curtis II | Psychologist | 15000 Broschart Rd, Rockville, MD 20850-3303 | 2010-12-28 |
| 1285958603 | Katherine Ann Martin | Psychologist | 932 Hungerford Dr, Suite 18b, Rockville, MD 20850-1713 | 2010-03-15 |
| 1679808836 | Elizabeth Malesa | Psychologist | 3200 Tower Oaks Blvd, Suite 200, Rockville, MD 20852 | 2009-10-06 |
| 1548429277 | Child and Family Psychological Services of Rockville, LLC | Psychologist | 6155 Executive Blvd, Rockville, MD 20852-3901 | 2008-06-06 |
| 1770792905 | Christine A Newell | Psychologist | 932 Hungerford Dr, Suite 39, Rockville, MD 20850-1713 | 2007-05-22 |
| Find all providers in ROCKVILLE | ||||
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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.