DR. JONATHAN WILLIAM THOMAS-STAGG (NPI# 1992074215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992074215 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN WILLIAM THOMAS-STAGG |
| Credential | LICENSED PSYCHOLOGIS |
| Practice Address |
701 Devonshire Dr Champaign IL 61820-7337 |
| Mailing Address |
701 Devonshire Dr C-53 Champaign IL 61820-7337 |
| Practice Telephone | 3096574904 |
| Mailing Telephone | 3096574904 |
| Enumeration Date | 2011-12-14 |
| Last Update Date | 2018-02-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
071008196 | IL | Behavioral Health & Social Service Providers |
| Street Address |
701 DEVONSHIRE DR |
| City | CHAMPAIGN |
| State | IL |
| Zip Code | 61820-7337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548362692 | Richard Grey Lord Sr. | Dentist | 701 Devonshire Dr, D1, Champaign, IL 61820-7356 | 2006-09-01 |
| 1073023776 | C.r. Booker Mediation & Counseling Inc. | Social Worker | 701 Devonshire Dr, C-35, Champaign, IL 61820-7337 | 2017-10-07 |
| 1396270575 | Megan Strom | Social Worker | 701 Devonshire Dr, Suite B1, Champaign, IL 61820-7337 | 2017-04-26 |
| 1871047209 | Cunningham Children's Home of Urbana Il | Clinic/Center | 701 Devonshire Dr, Champaign, IL 61820-7337 | 2016-08-15 |
| 1669893244 | Rachel Kurtz | Social Worker | 701 Devonshire Dr, Suite B1, Champaign, IL 61820-7337 | 2013-12-26 |
| 1093087728 | Kleppin and Associates | Counselor | 701 Devonshire Dr, Suite 201, Champaign, IL 61820-7337 | 2012-01-26 |
| 1861763021 | Joshua H Hagerstrom | Counselor | 701 Devonshire Dr, Suite B1, Champaign, IL 61820-7337 | 2012-01-19 |
| 1467738450 | Wendi J Crabtree | Counselor | 701 Devonshire Dr, Suite B15, Champaign, IL 61820-7337 | 2011-10-23 |
| 1437443561 | Michael Thomas Kleppin | Counselor | 701 Devonshire Dr, Suite 201, Champaign, IL 61820-7337 | 2011-06-06 |
| 1356640700 | Kenna Dunlap Johnson | Social Worker | 701 Devonshire Dr, Suite B15, Champaign, IL 61820-7337 | 2011-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982217345 | Costco Wholesale Corporation | Pharmacy | 2002 N. Neil St., Champaign, IL 61820 | 2020-08-26 |
| 1255963583 | Jamey Richard Bailey | Social Worker | 701 Devonshire Drive, Bldg C, Suite 206, C-6, Champaign, IL 61820 | 2020-02-05 |
| 1790247443 | Jason Abrams | Counselor | 201 W Springfield Ave., Suite 1002-1003, Champaign, IL 61820 | 2019-04-02 |
| 1184100273 | Janine Rafferty | Pharmacist | 2002 N Neil St, Champaign, IL 61820 | 2018-07-12 |
| 1417475070 | Brodbeck Counseling, PC | Community/Behavioral Health | 301 N. Neil Street Suite 323, Champaign, IL 61820 | 2017-09-05 |
| 1447773726 | Quanata M Pelmore | Nurse's Aide | 508 E. Vine St, Champaign, IL 61820 | 2017-07-19 |
| 1821518127 | Molly Mclay | Social Worker | 309 W Clark St., Champaign, IL 61820 | 2017-06-27 |
| 1396265849 | Lou Echols Chambers | Audiologist | 901 South Sixth Street, Chamapign, IL 61820 | 2017-06-26 |
| 1962874495 | Luciana Angelica Guardini | Social Worker | 100 North Chestnut Street, Suite 244, Champaign, IL 61820 | 2015-10-23 |
| 1538544465 | Cpo Services, Inc. | Prosthetic/Orthotic Supplier | 410 E University Ave Ste 105, Champaign, IL 61820 | 2015-07-21 |
| Find all providers in zip 61820 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710412119 | Kevin Christopher Hiner | Psychologist | 203 Avondale Ave, Champaign, IL 61820-6505 | 2017-04-24 |
| 1851709026 | Hannah Clark | Psychologist | 515 N Hickory St Apt 202, Champaign, IL 61820-3889 | 2014-07-31 |
| 1811305527 | Theresa Benson | Psychologist | 1910 Mcdonald Dr, Champaign, IL 61821-6055 | 2014-07-25 |
| 1588965479 | Samira Grace Didos | Psychologist | 1503 Waterford Pl, Champaign, IL 61821-6971 | 2010-11-08 |
| 1952534026 | Brandi Elizabeth Burque | Psychologist | 3915 Rockdale Dr, Champaign, IL 61822-2051 | 2009-08-24 |
| 1265630537 | Elizabeth Catherine Tingley | Psychologist | Department of Psychiatry and Psychology-carle Physician, 1802 S. Mattis, Champaign, IL 61821 | 2007-07-06 |
| 1326244237 | Linda Miller, Lcsw | Psychologist | 3306 Lakeshore Dr, Champaign, IL 61822-5206 | 2007-06-26 |
| 1891905303 | Geneva Reynaga Abiko | Psychologist | Uiuc Counseling Center, 610 E. John Street, 206 Ssb, Champaign, IL 61820 | 2007-05-23 |
| 1518188036 | John T Jones | Psychologist | 206 N. Randolph Street, Suite 510, Champaign, IL 61820 | 2007-05-01 |
| 1295959740 | Gregory Allen Miller | Psychologist | 603 E Daniel St, Dept. of Psychology, U. Illinois, Champaign, IL 61820-6232 | 2007-04-13 |
| Find all providers in CHAMPAIGN | ||||
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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.