DR. STACEY L. SPENCER (NPI# 1295899771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295899771 |
| Entity Type | Individual |
| Full Name | DR. STACEY L. SPENCER |
| Credential | ED.D |
| Practice Address |
50 Cherry Hill Road 305 Maplewood NJ 07040 |
| Practice Telephone | 9732579000 |
| Practice Fax Number | 9732570506 |
| Mailing Telephone | 9732579000 |
| Mailing Fax Number | 9732570506 |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2016-02-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
35SI00560000 | NJ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659820785 | Stacey Spencer | Case Manager/Care Coordinator | 58646 Mcnulty Way, Saint Helens, OR 97051-6210 | 2016-09-30 |
| 1427362334 | Stacey Spencer | Specialist/Technologist | 291 Court St, Machias, ME 04654-3304 | 2010-08-03 |
| Street Address |
50 CHERRY HILL ROAD 305 |
| City | MAPLEWOOD |
| State | NJ |
| Zip Code | 07040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538654462 | Ajibola G Alli | Counselor | 15 Hausmann Ct Fl 1, Maplewood, NJ 07040 | 2018-06-23 |
| 1487142980 | Monica Goodrich | Student in an Organized Health Care Education/Training Program | Winchester Gardens, 333 Elmwood Ave, Maplewood, NJ 07040 | 2018-04-30 |
| 1487173795 | Jessica M Hodge | Marriage & Family Therapist | 35 Marie Place, Maplewood, NJ 07040 | 2017-09-18 |
| 1386173797 | Marianne Nadine Rubino | Social Worker | 111 Dunnell Road, Suite 201-8, Maplewood, NJ 07040 | 2017-06-08 |
| 1629504881 | Krishna Surapaneni | Pharmacist | 747 Irvington Avenue, Maplewood, NJ 07040 | 2017-05-10 |
| 1548717143 | Mindset Psychotherapy Center | Social Worker | 2040 Millburn Ave. Suite 205, Maplewood, NJ 07040 | 2016-09-01 |
| 1588010888 | Rochelle Laverne Brunson | Massage Therapist | 2130 Millburn Ave., Suite C8, Maplewood, NJ 07040 | 2016-05-05 |
| 1881082774 | Perry Grossman | Physical Medicine & Rehabilitation | 137 Parker Avenue, Maplewood, NJ 07040 | 2014-12-31 |
| 1124436746 | Karen Reckson | Specialist | 24 Beach Place, Maplewood, NJ 07040 | 2014-07-28 |
| 1427462670 | Appetite for Health | Dietitian, Registered | 94 Claremont Ave, Maplewood, NJ 07040 | 2014-06-16 |
| Find all providers in zip 07040 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093199630 | Garry Allen | Psychologist | 2345 Ariel St North Mail Stop 13601a, Maplewood, MN 55109 | 2015-07-14 |
| 1649596222 | Eve P. Adams | Psychologist | 2112 Millburn Avenue, Suite 102b, Maplewood, NJ 07040 | 2010-04-08 |
| 1609060284 | Monica Jeanne-marie Indart | Psychologist | One Lenox Place, Suite C, Maplewood, NJ 07040 | 2007-08-28 |
| 1538373766 | John S Loconte | Psychologist | 697 Valley Street, Suite 2-a, Maplewood, NJ 07040 | 2007-05-09 |
| 1538215728 | Sangeetha Nayak | Psychologist | 111 Dunnell Rd, 2nd Floor, Maplewood, NJ 07040-2622 | 2007-01-28 |
| 1316049703 | Louis B Schlesinger | Psychologist | 12 Tower Dr, Maplewood, NJ 07040-1008 | 2006-09-05 |
| 1730108564 | Duncan E. Walton | Psychologist | 2115 Millburn Ave., Maplewood, NJ 07040-3714 | 2006-07-19 |
| 1194775841 | Carol Rogers-tanner | Psychologist | 2399 Ariel St N Ste D, Maplewood, MN 55109-2202 | 2006-05-11 |
| 1194784512 | Kimberly O Ryan | Psychologist | 2345 Ariel Street North, Mail Stop 13601a, Maplewood, MN 55109-2248 | 2006-03-23 |
| 1437155801 | Ernest Boswell | Psychologist | 1478 Sterling St N, Maplewood, MN 55119-7179 | 2005-06-21 |
| Find all providers in MAPLEWOOD | ||||
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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.