DR. KIRK J. STUCKY


Address: 2700 Robert T Longway Blvd, Suite 1, Flint, MI 48503-2190
Phone: 8102391975

DR. KIRK J. STUCKY (NPI# 1922153980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922153980
Entity Type Individual
Full Name DR. KIRK J. STUCKY
Credential PSY.D.
Practice Address 2700 Robert T Longway Blvd
Suite 1
Flint
MI 48503-2190
Mailing Address 1085 S Linden Rd
Suite 150
Flint
MI 48532-3421
Practice Telephone 8102391975
Practice Fax Number 8102391281
Mailing Telephone 8107323240
Mailing Fax Number 8102300280
Enumeration Date 2007-01-23
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 103G00000X Clinical Neuropsychologist 6301009785 MI Behavioral Health & Social Service Providers
X 103T00000X Psychologist 6301009785 MI Behavioral Health & Social Service Providers
X 103TR0400X Psychologist
Specialization: Rehabilitation
6301009785 MI Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MI BCBS GROUP (ROBERT T) OB54550 01
MI BCBSM GROUP - HMC OB51092 01

Office Location

Street Address 2700 ROBERT T LONGWAY BLVD
SUITE 1
City FLINT
State MI
Zip Code 48503-2190

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619965175 Khalid Mohammed Ahmed Internal Medicine 2700 Robert T Longway Blvd, Suite B, Flint, MI 48503-2190 2005-10-10
1871060129 Trisha Louise Krul Assistant Behavior Analyst 2700 Robert T Longway Blvd, Flint, MI 48503-2190 2018-10-25
1447726450 Sheeba Mathews Nurse Practitioner 2700 Robert T Longway Blvd, Flint, MI 48503-2190 2018-10-17
1700388089 Nichole Lynn Thornton Behavior Technician 2700 Robert T Longway Blvd, Flint, MI 48503 2018-03-02
1013429430 Broc Stephen Wilkison Assistant Behavior Analyst 2700 Robert T Longway Blvd, Flint, MI 48503-2190 2017-10-25
1053839910 Rebekah Plantz Technician/Technologist 2700 Robert T Longway Blvd, Flint, MI 48503-2190 2017-08-31
1457881369 Robert Joseph Moore Behavior Technician 2700 Robert T Longway Blvd, Flint, MI 48503-2190 2017-06-13
1982131819 Samantha Jo Wolf Behavior Technician 2700 Robert T Longway Blvd, Flint, MI 48503-2190 2017-05-23
1952834921 Monica Leverette Nurse Practitioner 2700 Robert T Longway Blvd, Suite B, Flint, MI 48503-2190 2017-04-06
1356893366 Shauna Franice Cooks Nurse Practitioner 2700 Robert T Longway Blvd, Suite B, Flint, MI 48503-2190 2016-10-26
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457971640 Flint Odyssey House Inc. Community/Behavioral Health 1219 Martin Luther King Avenue, Flint, MI 48503 2020-04-17
1891265476 Mary Margaret Woodruff Health Educator 411 E. Third St Suite 2, Flint, MI 48503 2018-11-27
1669942223 Donna Jean Phelps Behavior Technician 2284 S Ballenger Highway, Flint, MI 48503 2018-11-27
1588150601 Dayonna Scott Social Worker Hope Network, 2830 Corunna Rd, Flint, MI 48503 2018-07-02
1801388020 Walgreen Co Durable Medical Equipment & Medical Supplies 2284 S Ballenger Hwy Ste F, Flint, MI 48503 2018-06-04
1134610504 Swathi Gorle Student in an Organized Health Care Education/Training Program Hurley Medical Center, 1 Hurley Plaza, Flint, MI 48503 2018-05-22
1881128049 Kara Garr Registered Nurse 805 Tuuri Pl, Flint, MI 48503 2017-04-14
1518405638 Thomasinia Terrell Peer Specialist 422 W Fourth Ave, Flint, MI 48503 2017-02-09
1790231041 Roslyn Boyce Technician, Other 2213 E. Court Street, Flint, MI 48503 2016-08-28
1689120818 Yasmine Elhefnawy Student in an Organized Health Care Education/Training Program One Hurley Plaza 3d West, Flint, MI 48503 2016-08-28
Find all providers in zip 48503

Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning.
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992237176 Lauren Marie Golla Clinical Neuropsychologist 111 E Court St Ste 1b, Flint, MI 48502-1649 2017-03-28
1922556406 Kenya Hameed Clinical Neuropsychologist 111 East Court St, Suite 1b-1, Flint, MI 48502 2016-09-14
1861682577 Sharon Ruth Nassau Clinical Neuropsychologist 1290 S Graham Rd, Flint, MI 48532-3535 2007-07-29
1588728208 Elizabeth R. Outman Clinical Neuropsychologist 1 Hurley Plz, Flint, MI 48503-5902 2006-12-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1265046098 Axon Psychology Group, PC Clinical Neuropsychologist 1377 Stonecreek Ct, Saint Joseph, MI 49085-9795 2020-08-31
1548814965 Emily Nicole Robinett-ferrara Clinical Neuropsychologist 14050 Kingston St, Oak Park, MI 48237-1140 2019-07-25
1649782244 Matthew Kadrich Clinical Neuropsychologist 3334 Rochester Rd # 205, Troy, MI 48083-5426 2017-11-04
1750839783 Ace Psychological Consultants LLC Clinical Neuropsychologist 1920 Livernois Rd Ste D, Troy, MI 48083-1770 2016-09-20
1841609369 Crystal Young Clinical Neuropsychologist 1550 E Beltline Ave Se, Suite 340, Grand Rapids, MI 49506-4301 2014-08-08
1497165146 Woojin Song Clinical Neuropsychologist 2101 Commonwealth Blvd Ste C, Ann Arbor, MI 48105-2969 2014-05-03
1831516152 Ira Lourie, Psy.d., Pllc Clinical Neuropsychologist 30051 High Valley Rd, Farmington Hills, MI 48331-2144 2014-03-25
1306272042 Erin Mark Clinical Neuropsychologist 2010 Hogback Rd Ste 6g, Ann Arbor, MI 48105-8800 2013-09-25
1326388554 Timothy Grayson Royer Clinical Neuropsychologist 3790 30th St Sw, Grandville, MI 49418-1602 2013-02-25
1801164496 Veronica Ichikawa Dillon Clinical Neuropsychologist 5600 Meadow Dr, Ann Arbor, MI 48105-9368 2011-12-09
Find all providers with the same taxonomy

Competitor

Search similar providers

City FLINT
Zip Code 48503

Improve Information

Please comment or provide details below to improve the information on DR. KIRK J. STUCKY.

Dataset Information

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.

Trending Searches