MR. SCOTT STACY (NPI# 1942663844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942663844 |
| Entity Type | Individual |
| Full Name | MR. SCOTT STACY |
| Credential | LICDC -CS |
| Practice Address |
1088 Wasserman Way Ste C Batavia OH 45103-1974 |
| Mailing Address |
128 Front St Apt 2 New Richmond OH 45157-1378 |
| Practice Telephone | 5137358100 |
| Mailing Telephone | 5134563046 |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2016-03-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
933782 | OH | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881917193 | Scott Anthony Stacy | Speech-Language Pathologist | 1101 Glen Oaks Rd., Shelbyville, TN 37160-2529 | 2010-03-02 |
| 1356406060 | Scott C. Stacy | Psychologist | 730 New Hampshire St, Suite 222, Lawrence, KS 66044-2736 | 2006-12-22 |
| 1114139094 | Scott Stacy | Counselor | 120 S Treaty Rd, Miami, OK 74354 | 2007-05-04 |
| Street Address |
1088 WASSERMAN WAY STE C |
| City | BATAVIA |
| State | OH |
| Zip Code | 45103-1974 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972072809 | Susan L Reginelli | Licensed Practical Nurse | 1088 Wasserman Way Ste C, Batavia, OH 45103-1974 | 2018-11-20 |
| 1851802177 | Peter Leighton | Counselor | 1088 Wasserman Way Ste C, Batavia, OH 45103-1974 | 2017-10-13 |
| 1184134603 | Ashley J Newberry | Counselor | 1088 Wasserman Way Ste C, Batavia, OH 45103-1974 | 2017-10-10 |
| 1528597432 | Grace Louise Hauke | Counselor | 1088 Wasserman Way Ste C, Batavia, OH 45103-1974 | 2017-06-06 |
| 1477902831 | Steven M Goldsberry | Counselor | 1088 Wasserman Way Ste C, Batavia, OH 45103-1974 | 2016-06-07 |
| 1508210394 | Patricia Clark | Counselor | 1088 Wasserman Way Ste C, Batavia, OH 45103-1974 | 2016-04-18 |
| 1871947937 | Stephanie Scott | Registered Nurse | 1088 Wasserman Way Ste C, Batavia, OH 45103-1974 | 2016-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689234486 | Mary Elizabeth Linz | Counselor | 4650 State Route 222, Batavia, OH 45103 | 2019-06-14 |
| 1679136188 | Anne Christine Nyktas | Dietitian, Registered | 4104 Bach-buxton Road, Batavia, OH 45103 | 2019-04-19 |
| 1437668589 | Christopher Robin Ross | Nurse Practitioner | 1174 Wingwood Trail, Batavia, OH 45103 | 2017-09-20 |
| 1528586369 | Nichole Eglian | Family Medicine | 4621 Blainfield Ct, Batavia, OH 45103 | 2017-08-31 |
| 1366842296 | Mary Suttschenko | Physical Therapist | 1325 Quail Ridge Road, Batavia, OH 45103 | 2014-08-28 |
| 1033532882 | Nhung Do | Social Worker | 463 South Broadway, Batavia, OH 45103 | 2014-01-30 |
| 1962840009 | Robert H Lewis | Specialist/Technologist | 1241 Ben Avon, Cincinnati, OH 45103 | 2013-06-11 |
| 1548506397 | Mary Ann Rhodes | Registered Nurse | 4352 Long Lake Dr, Apt 2214, Batavia, OH 45103 | 2012-12-26 |
| 1184958068 | Papia Das | Speech-Language Pathologist | 2400 Clermont Center Drive, Clermont County Educational Service Center, Batavia, OH 45103 | 2009-09-25 |
| 1558501650 | Clermont Northeastern Local Schools | Local Education Agency (LEA) | 2792 U.S. Highway 50, Batavia, OH 45103 | 2009-03-02 |
| Find all providers in zip 45103 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689234486 | Mary Elizabeth Linz | Counselor | 4650 State Route 222, Batavia, OH 45103 | 2019-06-14 |
| 1992168579 | Kellie Luley | Counselor | 4560 State Route 222, Batavia, OH 45103-9778 | 2016-04-01 |
| 1750791026 | Cathy Jo Vanderpool | Counselor | 4428 State Route 222, Batavia, OH 45103-9777 | 2014-05-07 |
| 1306144167 | Kelly Marie Young | Counselor | 201 Houston St Ste 104, Batavia, IL 60510-1960 | 2011-03-03 |
| 1811197924 | Bruce Edward Baker | Counselor | 430 East Main St., Batavia, NY 14020 | 2007-07-18 |
| 1396353272 | Nicole Wagner | Counselor | 1100 Hospital Dr, Batavia, OH 45103-1920 | 2020-07-16 |
| 1689205189 | Jessica Griffith | Counselor | 1100 Hospital Dr, Batavia, OH 45103-1920 | 2020-02-03 |
| 1063072759 | Diamond Lee Amber Blevins | Counselor | 1100 Hospital Dr, Batavia, OH 45103-1920 | 2019-06-16 |
| 1215402854 | Hannah Marie Calvert | Counselor | 4428 State Route 222, Batavia, OH 45103-9777 | 2018-10-10 |
| 1043709470 | Alexis Deatherage | Counselor | 1100 Hospital Dr, Batavia, OH 45103-1920 | 2018-05-01 |
| Find all providers in BATAVIA | ||||
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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.