DR. STEPHANIE RITA MCDONOUGH (NPI# 1215599766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215599766 |
Entity Type | Individual |
Full Name | DR. STEPHANIE RITA MCDONOUGH |
Credential | PH.D. |
Practice Address |
1600 Sw Archer Rd Fl Roomg901 Gainesville FL 32610-3003 |
Mailing Address |
Po Box 100165 Gainesville FL 32610-0165 |
Practice Telephone | 3522650294 |
Mailing Telephone | 3522736617 |
Mailing Fax Number | 3522736156 |
Enumeration Date | 2019-07-05 |
Last Update Date | 2020-01-27 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TH0100X |
Psychologist Specialization: Health Service |
PY10525 | FL | Behavioral Health & Social Service Providers |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225349590 | Stephanie A Mcdonough | Counselor | 290 Littleton Rd, Suite 1a, Chelmsford, MA 01824-3406 | 2010-07-01 |
1649818790 | Stephanie Lynn Mcdonough | Technician, Other | 4510 Salt Lake Blvd, Honolulu, HI 96818-3153 | 2019-12-18 |
1871818575 | Stephanie S. Mcdonough | Counselor | 6th Avenue & Spruce Street, Building K, West Reading, PA 19611 | 2010-04-06 |
Street Address |
1600 SW ARCHER RD FL ROOMG901 |
City | GAINESVILLE |
State | FL |
Zip Code | 32610-3003 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003440660 | Thy Cam Huynh | Occupational Therapist | 1549 Gale Lemerand Dr, Gainesville, FL 32610 | 2020-02-23 |
1093359226 | Lauren Anne Ruddocks | Dentist | University of Florida College of Dentistry, 1395 Center Drive, Gainesville, FL 32610 | 2019-10-31 |
1104310549 | Brandon Lucke-wold | Neurological Surgery | 1149 S Newell Dr Deapartment of Neurosurgery Bldg #59, Gainesville, FL 32610 | 2018-06-19 |
1619465754 | Carlos Eduardo Vervloet Sollero | Student in an Organized Health Care Education/Training Program | 1149 Newell Drive, University of Florida, Department of Neurology, Gainesville, FL 32610 | 2018-04-24 |
1811359151 | Ramsha A. Kudia | Internal Medicine | 1549 Gale Lemerand Drive, 3rd Floor, Gainesville, FL 32610 | 2016-03-25 |
1447619937 | Wajdi Mohammed | Dentist | 1395 Center Dr., D8-6, Gainesville, FL 32610 | 2016-02-12 |
1922484344 | Kavan Ashit Gandhi | Dentist | 1395 Center Drive D7-19, Gainesville, FL 32610 | 2015-08-07 |
1972981512 | David Shin | Student in an Organized Health Care Education/Training Program | 1600 Sw Archer Road, Fl 1, Rm 1097, Gainesville, FL 32610 | 2015-05-15 |
1669887485 | Alejandro Jose Delgado | Dentist | 1395 Center Drive, University of Florida, College of Dentistry, Gainsville, FL 32610 | 2014-07-01 |
1194167296 | Zain Shahid | Student in an Organized Health Care Education/Training Program | 1600 Sw Archer Rd # Ng-45, Gainesville, FL 32610 | 2013-07-18 |
Find all providers in zip 32610 |
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 |
---|---|---|---|---|
1699882068 | Thomas H. White | Psychologist | 451 Ee Butler Pkwy, Gainesville, GA 30501-4524 | 2006-08-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962019935 | Michelle Johnson | Psychologist | 22513 Se 61st Ave, Hawthorne, FL 32640-3640 | 2020-09-24 |
1538785837 | Change The Narrative Counseling LLC | Psychologist | 20417 Berrywood Ln, Tampa, FL 33647-3476 | 2020-06-23 |
1689210791 | Alexis Vaughn | Psychologist | 203 Ne Montana St, Lake City, FL 32055-2183 | 2019-11-24 |
1316581101 | Melissa Singleton | Psychologist | 4728 Lexington Ave, Jacksonville, FL 32210-3218 | 2019-11-05 |
1407408123 | R Ramos Inc. | Psychologist | 2285 St R 580, S-210, Clearwater, FL 33763-1111 | 2019-07-12 |
1013573039 | Antionette Jarshawn Miller-maultsby | Psychologist | 4401 Will Scarlet Rd, Jacksonville, FL 32208-1154 | 2019-05-15 |
1376002063 | Lakeyta Nacole Givens | Psychologist | 514 Joan St, Macclenny, FL 32063-2618 | 2019-03-13 |
1558841684 | Kevin D Roberts | Psychologist | 20 First Street Apt 5, St. Augustine, FL 32084 | 2018-08-17 |
1295280428 | Psych Aid Corp | Psychologist | 1300 Nw 84th Ave, Doral, FL 33126-1500 | 2016-08-17 |
1952855082 | Day By Day Wellness Inc | Psychologist | 207 Blue Heron Blvd E, Suite 203, Riviera Beach, FL 33404-4560 | 2016-08-05 |
Find all providers with the same taxonomy |
City | GAINESVILLE |
Zip Code | 32610 |
Please comment or provide details below to improve the information on DR. STEPHANIE RITA MCDONOUGH.
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.