AMY STOCKMAN (NPI# 1073617676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073617676 |
Entity Type | Individual |
Full Name | AMY STOCKMAN |
Credential | PH.D. |
Practice Address |
209 E Washington St Suite 202 Iowa City IA 52240-3909 |
Practice Telephone | 3193543232 |
Practice Fax Number | 3193542990 |
Mailing Telephone | 3193543232 |
Mailing Fax Number | 3193542990 |
Enumeration Date | 2006-09-12 |
Last Update Date | 2009-02-04 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TH0100X |
Psychologist Specialization: Health Service |
00790 | IA | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IA | WELLMARK BCBS | 01203 | 01 |
Street Address |
209 E WASHINGTON ST SUITE 202 |
City | IOWA CITY |
State | IA |
Zip Code | 52240-3909 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265421747 | David Guy Martino | Psychologist | 209 E Washington St, Suite 202, Iowa City, IA 52240-3909 | 2005-10-18 |
1609060458 | Katrina Welsh | Psychologist | 209 E Washington St, Suite 202, Iowa City, IA 52240-3909 | 2007-09-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215408703 | Huan-chung Scott Liu | Psychologist | 332 S Linn St Ste 14, Iowa City, IA 52240 | 2018-12-10 |
1124531579 | Amber Marie Wong | Counselor | 47 High Circle Drive, Iowa City, IA 52240 | 2017-11-08 |
1356852321 | Spencer Joseph Bohr | Specialist/Technologist | 314 S Governor St, Iowa City, IA 52240 | 2017-10-18 |
1992215651 | Kezia Jade Digioia | Student in an Organized Health Care Education/Training Program | 505 East Burlington St, Apt 7b, Iowa City, IA 52240 | 2017-10-09 |
1457879694 | Teleigha Teilon Lourell Starks | Specialist/Technologist | 629 South Johnson, 3, Iowa City, IA 52240 | 2017-09-08 |
1003213448 | National Seating & Mobility, Inc | Durable Medical Equipment & Medical Supplies | 2415 Heinz Rd Ste 1, Iowa City, IA 52240 | 2014-12-01 |
1750701439 | County of Johnson | Public Health or Welfare | 855 S Dubuque, Suite 217, Iowa City, IA 52240 | 2014-04-22 |
1083045892 | Julie Louise Gallagher | Dietitian, Registered | 1720 Waterfront Drive, Iowa City, IA 52240 | 2013-12-04 |
1619314515 | Jade A Baxley | Physical Therapist | 1130 Scott Blvd., Ste. 1, Iowa City, IA 52240 | 2013-05-31 |
1629316062 | Shelter House Community Shelter and Transition Services | Community/Behavioral Health | 429 Southgate Ave, Iowa City, IA 52240 | 2013-01-18 |
Find all providers in zip 52240 |
Taxonomy Code | 103TH0100X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Health Service |
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). |
Notes: Source: National Register of Health Service Providers in Psychology website http://www.nationalregister.org/about_NR.html [7/1/2006: modified title, added definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851958656 | Jonathan Butoto | Psychologist | 1716 Franklin Ave, Des Moines, IA 50314-1527 | 2019-05-28 |
1043299837 | Janel Kay Harris | Psychologist | 610 N 4th St, Suite 110a, Burlington, IA 52601-5055 | 2006-01-11 |
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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.