DR. STACY CATHERINE MENDELSON (NPI# 1417070194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417070194 |
| Entity Type | Individual |
| Full Name | DR. STACY CATHERINE MENDELSON |
| Credential | PHARM.D. |
| Practice Address |
9900 Spectrum Dr Austin TX 78717-4555 |
| Mailing Address |
5409 Tortuga Trl Austin TX 78731-4535 |
| Practice Telephone | 5122575200 |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1300X |
Pharmacist Specialization: Psychiatric |
38274 | TX | Pharmacy Service Providers |
| Street Address |
9900 SPECTRUM DR |
| City | AUSTIN |
| State | TX |
| Zip Code | 78717-4555 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477676559 | Lawlee Agnes Ho | Pharmacist | 9900 Spectrum Dr, Austin, TX 78717-4555 | 2007-04-06 |
| 1821638222 | Monarch Medical LLC | Durable Medical Equipment & Medical Supplies | 9900 Spectrum Dr, Austin, TX 78717-4555 | 2020-01-14 |
| 1578879383 | David Lawrence Winn | Family Medicine | 9900 Spectrum Dr, Austin, TX 78717-4555 | 2010-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538766290 | Eva Charo | Registered Nurse | 2036 Bel Paese Bend, Leander, TX 78717 | 2020-10-06 |
| 1568940591 | Hannah Joy Winger | Registered Nurse | 15510 Ranch Road 620 North. Apt 2104, Austin, TX 78717 | 2018-08-01 |
| 1811406192 | Msh Diamondback Health Services LLC | Nurse Practitioner | 16219 Ranch Road 620, Austin, TX 78717 | 2017-09-29 |
| 1790204378 | May Paraan Harris | Nurse Practitioner | 162919 Ranch Road 620 N., Austin, TX 78717 | 2017-09-14 |
| 1386168706 | Zachary David Lewitz | Pharmacist | 14028 North Us 183, Austin, TX 78717 | 2017-07-27 |
| 1538608724 | Britex Walden Pllc | Clinic/Center | 9800 North Lake Creek Parkway, Suite # 150, Austin, TX 78717 | 2017-02-21 |
| 1639574338 | Sam's East, Inc. | Technician/Technologist | 10901 Lakeline Mall Dr., Austin, TX 78717 | 2014-10-24 |
| 1023453677 | Nw Dentistry and Orthodontics, PC | Dentist | 14028 North Us Highway 183, Suite 430, Austin, TX 78717 | 2013-05-08 |
| 1831430677 | Brian Fagan | Pharmacist | 14028 Highway 183, Austin, TX 78717 | 2013-03-04 |
| 1891036703 | Paul Jeffrey Marchioni | Pharmacist | 14028 North Us Hwy. 183, Austin, TX 78717 | 2013-03-04 |
| Find all providers in zip 78717 | ||||
| Taxonomy Code | 1835P1300X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Psychiatric |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing care of patients with psychiatric illness by assessing and monitoring patients, recognizing drug-induced problems, and recommending appropriate treatment plans. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669900833 | Samantha Marie Vogel | Pharmacist | 1301 W 38th St Ste 700, Austin, TX 78705-1016 | 2017-05-31 |
| 1053761676 | Nina Vadiei | Pharmacist | 3400 Harmon Ave Apt 469, Austin, TX 78705-2375 | 2016-06-14 |
| 1407106750 | Morgan Snyder | Pharmacist | 7603 Eastcrest Dr, Austin, TX 78752-1409 | 2012-09-13 |
| 1134407802 | Tawny Smith | Pharmacist | 3501 Mills Ave, Austin, TX 78731-6309 | 2011-07-29 |
| 1003813031 | Terry Lynn Green-witty | Pharmacist | 3501 Mills Ave, Austin, TX 78731-6309 | 2005-07-06 |
| 1932106424 | Lisa Marie Mican | Pharmacist | 4110 Guadalupe St, Austin, TX 78751-4223 | 2005-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336341254 | Jerry Wade Lee | Pharmacist | 1950 Aspen, Lubbock, TX 79403 | 2007-06-04 |
| 1104047364 | Ronald Leon Thomas | Pharmacist | 1350 N. Westmoreland, Pharmacy Service, Dallas, TX 75211 | 2007-05-02 |
| 1184717688 | Crystal Henderson | Pharmacist | 1001 Lake Carolyn Pkwy Apt 516, Irving, TX 75039-4816 | 2006-10-02 |
| 1174513972 | Catherine Susan Hall | Pharmacist | 325 Wallace St, Seguin, TX 78155-5959 | 2005-10-24 |
| 1013902519 | Leah B Nunez | Pharmacist | 1401 S Rangerville Rd, Harlingen, TX 78552-7638 | 2005-09-12 |
| 1740281716 | Mishelle R Seiler | Pharmacist | 8720 Country Glen Xing, Plano, TX 75024-3780 | 2005-08-02 |
| 1427058346 | Delphina Chikamele Mitima-samuel | Pharmacist | 9727 Mckinney Ln, Missouri City, TX 77459 | 2005-07-21 |
| 1568460202 | Lawrence J Cohen | Pharmacist | 3500 Camp Bowie Blvd, Fort Worth, TX 76107-2644 | 2005-07-07 |
| 1386641017 | Jennifer D. Faulkner | Pharmacist | 1901 Veterans Memorial Dr, Mhc 116, Temple, TX 76504-7451 | 2005-07-07 |
| 1609873694 | William Henry Benefield Jr. | Pharmacist | 4502 Meredith Woods St, San Antonio, TX 78249-1410 | 2005-07-05 |
| Find all providers with the same taxonomy | ||||
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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.