DR. STACY MARTIN (NPI# 1083081020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083081020 |
| Entity Type | Individual |
| Full Name | DR. STACY MARTIN |
| Credential | PH.D. |
| Practice Address |
6666 Passer Rd Ste 2 Coopersburg PA 18036-1258 |
| Mailing Address |
4890 Majestic Dr Coopersburg PA 18036-8722 |
| Practice Telephone | 4849353434 |
| Practice Fax Number | 4845443901 |
| Mailing Telephone | 6102957834 |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PS017666 | PA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1040 Chestnut St, Lehigh Psychological Services, Emmaus, PA 180491952 | 6109665188 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932628385 | Stacy Martin | Counselor | Tuscarawas County Alcohol and Addiction Program, 897 E. Iron Ave., Dover, OH 44622 | 2017-09-18 |
| 1710403514 | Stacy L Martin | Student in an Organized Health Care Education/Training Program | 1500 S Avenue K # 3, Portales, NM 88130-7400 | 2017-08-14 |
| 1699143784 | Stacy Martin | Physical Therapy Assistant | 300 Strode Ave, Coatesville, PA 19320-2874 | 2015-09-08 |
| 1407239585 | Stacy Martin | Counselor | 3e Cleveland Ct, Greenville, SC 29607-2414 | 2015-07-07 |
| 1730512567 | Stacy Erin Martin | Counselor | 141 Loire Valley Dr, Pittsburgh, PA 15209-1070 | 2013-08-15 |
| 1013241264 | Stacy Martin | Counselor | 251 Fleet St, Rankin, PA 15104-1150 | 2009-09-21 |
| 1295987162 | Stacy A. Martin | Social Worker | 2005 Mclain St, Newport, AR 72112-3662 | 2008-10-22 |
| 1760688907 | Stacy Martin | Behavioral Analyst | 882 Eastchester Dr, Gahanna, OH 43230-5137 | 2007-06-25 |
| 1992763569 | Stacy D Martin | Nurse Practitioner | 1566 Pea Ridge Rd, Scottsville, KY 42164-7702 | 2006-05-03 |
| 1174132435 | Stacy A Martin | Nurse Practitioner | 4896 Highway 90 Ste A, Marianna, FL 32446-7840 | 2020-07-23 |
| Street Address |
6666 PASSER RD STE 2 |
| City | COOPERSBURG |
| State | PA |
| Zip Code | 18036-1258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841374964 | George Lee Carey IIi | Psychologist | 6666 Passer Rd Ste 2, Coopersburg, PA 18036-1258 | 2006-10-25 |
| 1457852568 | Lehigh Valley Child Psychology Center LLC | Clinic/Center | 6666 Passer Rd Ste 2, Coopersburg, PA 18036-1258 | 2018-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417483611 | Lee Applequist | Physical Therapist | 5926 Glen Road, Coopersburg, PA 18036 | 2017-05-08 |
| 1386005536 | Deborah Siderias | Counselor | 404 E. Landis Street, Coopersburg, PA 18036 | 2016-03-16 |
| 1124404975 | Diane R. Wertman | Counselor | 343 S. 3rd Street, Coopersburg, PA 18036 | 2015-08-04 |
| 1639588528 | Tyler Washburn | Counselor | 3822 Chestnut Hill Road, Coopersburg, PA 18036 | 2014-08-05 |
| 1659700698 | Holly White | Physical Therapist | 7650 Pennsylvania Route 309, Coopersburg, PA 18036 | 2013-11-08 |
| 1770832370 | Joan T Metter | Registered Nurse | 1879 Peppermint Road, Coopersburg, PA 18036 | 2012-08-29 |
| 1811184906 | Brenda Werkheiser | Dental Hygienist | 21 N Main St., Coopersburg, PA 18036 | 2007-10-02 |
| 1689792160 | Bruce Matthew Wechtler | Dentist | 202 South 3rd Street, Coopersburg, PA 18036 | 2007-03-26 |
| 1730299751 | Robin Janel Rooth-fogel | Social Worker | 202 S. Third Street, Suite 1, Coopersburg, PA 18036 | 2006-08-30 |
| 1528090545 | Giant Food Stores LLC | Pharmacy | 216 E Fairmount St and Rt 309, Coopersburg, PA 18036 | 2006-07-07 |
| Find all providers in zip 18036 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205103660 | Nancy Elizabeth Miller | Psychologist | 6751 Roberts Rd, Coopersburg, PA 18036-1377 | 2011-11-29 |
| 1841374964 | George Lee Carey IIi | Psychologist | 6666 Passer Rd Ste 2, Coopersburg, PA 18036-1258 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578937 | Margaret Edwards | Psychologist | 110 S 20th St Ste 206, Philadelphia, PA 19103-4486 | 2020-11-03 |
| 1699374843 | Elizabeth Ann Johnson | Psychologist | 3640 Stanton St Apt 107, Philadelphia, PA 19129-1683 | 2020-10-20 |
| 1689272577 | Katherine Piselli | Psychologist | 3401 Market St Ofc 3216, Philadelphia, PA 19104-3318 | 2020-10-13 |
| 1033717202 | Batsirai Bvunzawabaya | Psychologist | 306 Shelbourne Rd, Havertown, PA 19083-3019 | 2020-10-11 |
| 1124635891 | Dylan Alexander Corp | Psychologist | 303 Farmstead Ln Apt 16, State College, PA 16803-2519 | 2020-09-28 |
| 1184231995 | Dorothy Cashore | Psychologist | 907 West St Rm 214, Pittsburgh, PA 15221-2838 | 2020-09-25 |
| 1134734213 | Heejin Kim | Psychologist | 138 Montrose Ave Unit 13, Bryn Mawr, PA 19010-1559 | 2020-09-15 |
| 1912518226 | Karen Dybner-madero | Psychologist | 2201 Pennsylvania Avenue, The Parkway House, Suite 101, Philadelphia, PA 19130 | 2020-08-11 |
| 1518576925 | Ll Mulhollem Counseling and Psychotherapy, LLC | Psychologist | 751 E High St, Elizabethtown, PA 17022-1714 | 2020-07-31 |
| 1750990263 | Pattey Fong Psychology Associates | Psychologist | 1062 E Lancaster Ave Ste 25, Bryn Mawr, PA 19010-1567 | 2020-07-30 |
| Find all providers with the same taxonomy | ||||
| City | COOPERSBURG |
| Zip Code | 18036 |
Please comment or provide details below to improve the information on DR. STACY MARTIN.
| 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.