DR. EDWARD ELSWORTH STEVENSON JR. (NPI# 1356569164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356569164 |
| Entity Type | Individual |
| Full Name | DR. EDWARD ELSWORTH STEVENSON JR. |
| Credential | PH. D. |
| Practice Address |
137 Putnam Ave Freeport NY 11520-1151 |
| Practice Telephone | 5168682583 |
| Practice Fax Number | 5168686253 |
| Mailing Telephone | 5168682583 |
| Mailing Fax Number | 5168686253 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
005156-1 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215257258 | Edward Ward Stevenson | Otolaryngology | 400 University Park Drive, Apt 194, Homewood, AL 35209 | 2010-06-01 |
| 1265892368 | Edward Stevenson | Physical Therapist | 3406 Laramie Dr, Bozeman, MT 59718-2005 | 2016-03-02 |
| 1780948893 | Edward Stevenson | Ophthalmology | 3155 N Union Blvd, Colorado Springs, CO 80907-8703 | 2012-07-03 |
| 1114137049 | Edward Stevenson | Counselor | 474 W 200 N, Suite 100, St George, UT 84770-4505 | 2007-05-22 |
| 1598787277 | Edward S Stevenson | Registered Nurse | 2319 St Matthews Road, Orangeburg, SC 29118 | 2006-07-24 |
| Street Address |
137 PUTNAM AVE |
| City | FREEPORT |
| State | NY |
| Zip Code | 11520-1151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881157154 | Barbara Chillemi | Registered Nurse | 56 Mackay Place, Freeport, NY 11520 | 2019-04-12 |
| 1588171631 | Lisa Frank | Nurse Practitioner | 150 Buffalo Ave, Freeport, NY 11520 | 2018-01-10 |
| 1447775838 | Julner Quettant Jr. | Physical Therapist | 63 St Marks Ave, Freeport, NY 11520 | 2017-08-07 |
| 1679003933 | Candice A R Greene | Speech-Language Pathologist | 12 Summers Place, Freeport, NY 11520 | 2017-06-19 |
| 1700310331 | Samantha Edwards | Psychologist | 6 Delisle Avenue, Freeport, NY 11520 | 2017-04-20 |
| 1275073769 | Dorothea Geiger | Behavior Technician | 90 Hillside Ave, Freeport, NY 11520 | 2017-03-02 |
| 1477092575 | Maryhaven Center of Hope,inc | Substance Abuse Rehabilitation Facility | 150 Buffalo Avenue, Freeport, NY 11520 | 2017-02-22 |
| 1861849135 | Daniel Lora | Acupuncturist | 140 Parsons Ave, Freeport, NY 11520 | 2016-05-17 |
| 1326413790 | Beatrice Jeanty | Registered Nurse | 619 South Long Beach Ave., Freeport, NY 11520 | 2015-12-10 |
| 1134505548 | Maria A. Meek | Nurse Practitioner | 334, West Merrick Rd., Freeport., NY 11520 | 2015-08-07 |
| Find all providers in zip 11520 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326414848 | Silver Sands Psychological, Inc. | Psychologist | 48 Dickens Dr, Freeport, FL 32439-2297 | 2015-08-19 |
| 1023341526 | Maria Scalley | Psychologist | 76 Park Ave, Freeport, NY 11520-3138 | 2009-09-15 |
| 1750537502 | Patricia Egan | Psychologist | 1011 Loras Dr, Suite C, Freeport, IL 61032-6900 | 2008-08-13 |
| 1578693222 | June L Owen | Psychologist | 932 South Long Beach Avenue, Freeport, NY 11520 | 2007-03-06 |
| 1467589986 | David C Lilly | Psychologist | 174 S Freeport Rd # 2e, Freeport, ME 04032-6145 | 2007-02-28 |
| 1164573390 | Martin Margulis | Psychologist | 40 Upper Mast Landing Rd, Freeport, ME 04032-6417 | 2007-01-15 |
| 1639151012 | Taylor Rockwell | Psychologist | 773 W Lincoln Blvd, Suite 105, Freeport, IL 61032-4976 | 2005-11-18 |
| 1962706077 | Patricia M Egan and Associates LLC | Psychologist | 3000 Highland View Dr, Freeport, IL 61032-6936 | 2011-01-04 |
| 1194967836 | Patricia M Egan Psy.d. | Psychologist | 1011 Loras Dr Ste C, Freeport, IL 61032-6900 | 2009-03-26 |
| 1750466959 | Sonnet Psychological, LLC | Psychologist | 174 S Freeport Rd, 2e, Freeport, ME 04032 | 2006-10-26 |
| Find all providers in FREEPORT | ||||
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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.