DR. STACEY SMITH (NPI# 1184085813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184085813 |
| Entity Type | Individual |
| Full Name | DR. STACEY SMITH |
| Credential | PHD |
| Practice Address |
2211 S Mill Ave Tempe AZ 85282-2115 |
| Mailing Address |
900 W Grove Pkwy Apt 2027 Tempe AZ 85283-4526 |
| Practice Telephone | 2142806446 |
| Mailing Telephone | 2142806446 |
| Enumeration Date | 2016-03-08 |
| Last Update Date | 2017-02-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 36876 | TX | Behavioral Health & Social Service Providers |
| Y | 103T00000X | Psychologist | 4584 | AZ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385771 | Stacey Smith | Physical Therapy Assistant | 24 Deer Run Rd, Little Egg Harbor Twp, NJ 08087-9722 | 2020-10-28 |
| 1205487139 | Stacey C Smith | Case Manager/Care Coordinator | 4166 Lindell Blvd Ste 1b, Saint Louis, MO 63108-2923 | 2019-09-23 |
| 1356812994 | Stacey Smith | Doula | 8711 Whitson Ct, Springfield, VA 22153-1268 | 2018-12-07 |
| 1871000745 | Stacey Smith | Counselor | 8622 Winton Rd Ste A, Cincinnati, OH 45231-4823 | 2018-01-02 |
| 1992150411 | Stacey Smith | Community Health Worker | 3042 Fitzgerald St, Jacksonville, FL 32254-3947 | 2016-05-03 |
| 1942664669 | Stacey Smith | Pharmacist | 124845 Main St, Williston, SC 29853-2711 | 2016-04-08 |
| 1881011716 | Stacey Amanda Smith | Pharmacist | 4468 Eagle River Run, Broomfield, CO 80023-8753 | 2014-03-28 |
| 1164755765 | Stacey V Smith | Counselor | 69 Mascot St, Dorchester Center, MA 02124-4130 | 2009-09-14 |
| 1831357185 | Stacey Marie Smith | Specialist/Technologist, Other | 1816 N 155th St, Shoreline, WA 98133-6014 | 2008-05-22 |
| 1831375567 | Stacey Ann Smith | Respiratory Therapist, Registered | 783 Vista Del Sol, Prescott, AZ 86303-7268 | 2008-01-11 |
| Street Address |
2211 S MILL AVE |
| City | TEMPE |
| State | AZ |
| Zip Code | 85282-2115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326588591 | Tree Behavioral Health | Clinic/Center | 2211 S Mill Ave, Tempe, AZ 85282-2115 | 2017-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346893575 | Cactus Canyon Dental | Dentist | 2043 E Southern Ave, Ste. C, Tempe, AZ 85282 | 2019-07-17 |
| 1023679644 | Donna Cooks | Registered Nurse | 233 E. Sourthern Ave #27702, Tempe, AZ 85282 | 2019-06-25 |
| 1841854932 | Lynn Stafford | Registered Nurse | 4041 S. Mcclintock, Ste 302, Tempe, AZ 85282 | 2019-04-24 |
| 1598227340 | Jane Ramenofsky Ramenofsky Stewart | Registered Nurse | 4041 So. Mcclintock Suite 302, Tempe, AZ 85282 | 2019-04-02 |
| 1588129902 | Mary K Wheeler Mcfarland | Registered Nurse | Adobe Care and Wellness LLC, Address Is 4041 S. Mcclintock, Ste 302, Tempe, AZ 85282 | 2019-02-11 |
| 1669949780 | Crestview Pharmacy Services LLC | Pharmacy | 3225 South Hardy Dr., Ste 100, Tempe, AZ 85282 | 2018-10-26 |
| 1275018715 | Berlin Wright | Naturopath | 2164 E. Broadway Rd., Tempe, AZ 85282 | 2018-10-01 |
| 1043701543 | Lakeshore Interventional Treatment Center LLC | Surgery | 4765 S Lakeshore Dr, Tempe, AZ 85282 | 2018-05-21 |
| 1427553940 | The Bridge Counseling, Consulting and Mediation LLC | Counselor | 4625 S. Lakeshore Dr., 302, Tempe, AZ 85282 | 2018-03-27 |
| 1346741501 | Coraesthetics Pllc | Physician Assistant | 2008 E Laguna Dr, Tempe, AZ 85282 | 2018-02-23 |
| Find all providers in zip 85282 | ||||
| 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 |
|---|---|---|---|---|
| 1275052326 | Nisha Todi | Psychologist | 1151 S Forest Ave Suite Number 334, Tempe, AZ 85287-0001 | 2017-09-10 |
| 1669912960 | Maureen Keaveny | Psychologist | 9855 S Priest Dr Ste 102, Tempe, AZ 85284-3605 | 2017-03-06 |
| 1164701751 | Daniel R Gross | Psychologist | 1155 W Grove Pkwy, Apt. 329, Tempe, AZ 85283-4409 | 2011-08-12 |
| 1962689828 | Brigitte Diane Gourley | Psychologist | 2600 E Southern, Suite F1, Tempe, AZ 85282 | 2008-01-23 |
| 1699897140 | Tad Skinner | Psychologist | 1300 S Mill Ave, Tempe, AZ 85281-5650 | 2007-04-04 |
| 1144346727 | Dr.zelda Hittel, P.C. | Psychologist | 1050 E. Southern, Suite A-1, Tempe, AZ 85282-5403 | 2007-03-22 |
| 1558406629 | Dennis J Burns | Psychologist | 371 W Lodge Dr, Tempe, AZ 85283-3532 | 2007-02-20 |
| 1013059344 | Linda Claire Caterino | Psychologist | 5420 S Lakeshore Dr 102, Tempe, AZ 85283-2172 | 2007-02-13 |
| 1073665139 | David Roger Young | Psychologist | 4801 S Lakeshore Dr, Suite 206, Tempe, AZ 85282-7155 | 2007-01-17 |
| 1639233422 | John C. Hollebeek | Psychologist | 4801 S Lakeshore Dr Ste 206, Tempe, AZ 85282-7157 | 2006-12-19 |
| Find all providers in TEMPE | ||||
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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.