DR. STACY DENISE BRINK (NPI# 1114175338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114175338 |
| Entity Type | Individual |
| Full Name | DR. STACY DENISE BRINK |
| Credential | PSY.D. |
| Practice Address |
5203 Sharon Rd Charlotte NC 28210-4721 |
| Mailing Address |
2336 Shenandoah Ave Charlotte NC 28205-6026 |
| Practice Telephone | 7045549900 |
| Mailing Telephone | 9804224016 |
| Enumeration Date | 2008-08-29 |
| Last Update Date | 2011-03-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
4026 | NC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518371863 | Stacy Hall Brink | Specialist | 4713 E Michigan Ave, Phoenix, AZ 85032-9517 | 2014-06-15 |
| Street Address |
5203 SHARON RD |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28210-4721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871679464 | Presbyterian Psychological Services | Counselor | 5203 Sharon Rd, Charlotte, NC 28210-4721 | 2006-10-27 |
| 1518500354 | Jessica Rubalcaba | Counselor | 5203 Sharon Rd, Charlotte, NC 28210-4721 | 2019-10-24 |
| 1255982864 | Daniel B Miles | Counselor | 5203 Sharon Rd, Charlotte, NC 28210-4721 | 2019-09-25 |
| 1760946800 | Katherine Kelly Boone | Counselor | 5203 Sharon Rd, Charlotte, NC 28210-4721 | 2019-01-23 |
| 1306310511 | Zach Massey | Psychologist | 5203 Sharon Rd, Charlotte, NC 28210-4721 | 2019-01-22 |
| 1487167607 | Ariana Mader | Counselor | 5203 Sharon Rd, Charlotte, NC 28210-4721 | 2017-11-09 |
| 1194241844 | Lisa L Cashion | Counselor | 5203 Sharon Rd, Charlotte, NC 28210-4721 | 2017-08-15 |
| 1649795154 | Elizabeth Fonda Hatzispiros | Counselor | 5203 Sharon Rd, Charlotte, NC 28210-4721 | 2017-08-04 |
| 1447773031 | Catherine Stowe Carstarphen | Counselor | 5203 Sharon Rd, Charlotte, NC 28210-4721 | 2017-07-25 |
| 1568838407 | Kathryn Post | Counselor | 5203 Sharon Rd, Charlotte, NC 28210-4721 | 2015-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952920860 | Rx Care 14 LLC | Pharmacy | 7701 Sharon Lakes Road, Suite H, Charlotte, NC 28210 | 2020-04-10 |
| 1427697622 | David Durant Dinsmore | Nurse Anesthetist, Certified Registered | Atrium Health Pineville, 10628 Park Road, Charlotte, NC 28210 | 2020-01-06 |
| 1790256964 | Tele Phys Inc | Internal Medicine | 10035 Park Center Dr., Ste 100, Charlotte, NC 28210 | 2018-12-16 |
| 1104395896 | Bridgett Williams | Behavior Technician | 7806 Andover Woods Drive, Charlotte, NC 28210 | 2018-11-26 |
| 1053880518 | Low-t Physicians Professional Association | Internal Medicine | 10430 Park Road Suite 100a, Charlotte, NC 28210 | 2018-11-14 |
| 1053895102 | Carolinas Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 7701 Sharon Lakes Blvd, Ste A., Charlotte, NC 28210 | 2018-09-24 |
| 1679066658 | Afc Urgent Care and Family Care of Wnc, Pllc | Clinic/Center | 10102 Johnston Rd, Charlotte, NC 28210 | 2018-06-13 |
| 1346777018 | Hopeway Foundation | Clinic/Center | 1717 Sharon Road West, Charlotte, NC 28210 | 2017-05-12 |
| 1891154688 | Jessie Lee Ogienko | Social Worker | 5960 Fairview Rd Ste 328, Charlotte, NC 28210 | 2016-02-22 |
| 1699151985 | Carolina Complete Psychiatry, Pllc | Physician Assistant | 5950 Fairview Road, Suite 708, Charlotte, NC 28210 | 2015-08-10 |
| Find all providers in zip 28210 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770123531 | Robert B Stroker | Psychologist | 10617 Kettering Dr Ste 213, Charlotte, NC 28226-4900 | 2020-01-09 |
| 1902460744 | Holly Hauser | Psychologist | 1905 J N Pease Pl Ste 104, Charlotte, NC 28262-4509 | 2019-04-26 |
| 1972944759 | Intrusted Care Solutions Inc | Psychologist | 2340 N Graham St Ste B, Charlotte, NC 28206-2506 | 2013-07-09 |
| 1790029791 | David E Mermelstein | Psychologist | 6201 Fairview Road, Ste 200, Charlotte, NC 28210-3297 | 2012-11-15 |
| 1598014011 | Jesse Selkin | Psychologist | 8832 Blakeney Professional Dr Ste 105, Charlotte, NC 28277-6717 | 2012-08-30 |
| 1629324975 | Kevin L Gyoerkoe | Psychologist | 8832 Blakeney Professional Dr, Suite 105, Charlotte, NC 28277-6809 | 2012-07-24 |
| 1235406109 | Redlak Recovery Center, Pllc | Psychologist | 10801 Johnston Rd Ste 217, Charlotte, NC 28226-7856 | 2011-11-21 |
| 1801172051 | Chad Wesley Kraska | Psychologist | 7400 Carmel Executive Park Dr Ste 135, Charlotte, NC 28226-8400 | 2011-11-01 |
| 1679805717 | Rose Marie Leday | Psychologist | 3440 Toringdon Way, Suite #205, Charlotte, NC 28277-3190 | 2010-01-29 |
| 1023241965 | Briana Melissa Webber-lind | Psychologist | 12815 Longstraw Rd, Charlotte, NC 28227-3686 | 2009-08-26 |
| Find all providers in CHARLOTTE | ||||
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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.