STACEY MANDEL GARFINKEL


Address: 6128 Bryndale Ave, Oak Park, CA 91377-5846
Phone: 8185124860

STACEY MANDEL GARFINKEL (NPI# 1932739356) 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) 1932739356
Entity Type Individual
Full Name STACEY MANDEL GARFINKEL
Practice Address 6128 Bryndale Ave
Oak Park
CA 91377-5846
Practice Telephone 8185124860
Mailing Telephone 8185124860
Enumeration Date 2020-01-24
Last Update Date 2020-01-24
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
LCS17870 CA Behavioral Health & Social Service Providers

Office Location

Street Address 6128 BRYNDALE AVE
City OAK PARK
State CA
Zip Code 91377-5846

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1033421805 Karen Tenenblatt Pediatrics 358 Kanan Rd, Oak Park, CA 91377 2010-07-09
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1083798805 Tad Alan Erickson Dentist 346 Kanan Rd, Suite 101, Oak Park, CA 91377-1100 2006-10-25
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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1104292127 Willie Mccullough Counselor 23751 Coyle St, Oak Park, MI 48237-1929 2015-08-13
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1821431628 Your Choice Counselor 105 N Marion St, Suite 1, Oak Park, IL 60301-1075 2013-04-10
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Competitor

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City OAK PARK
Zip Code 91377

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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.

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