PROF. STACI DAVIS (NPI# 1467696419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467696419 |
| Entity Type | Individual |
| Full Name | PROF. STACI DAVIS |
| Credential | PSYD |
| Practice Address |
3830 E Van Buren St Phoenix AZ 85008-6920 |
| Mailing Address |
2702 N 3rd St Ste 4020 Phoenix AZ 85004-4608 |
| Practice Telephone | 6022437277 |
| Practice Fax Number | 6022860808 |
| Mailing Telephone | 6023233492 |
| Mailing Fax Number | 6023233399 |
| Enumeration Date | 2009-04-21 |
| Last Update Date | 2017-10-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
4519 | AZ | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
017898 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 206766 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871658468 | Staci Davis | Social Worker | 574 E Meadow Ave, East Meadow, NY 11554-5032 | 2006-12-26 |
| 1336493865 | Staci F Davis | Social Worker | 475 White Plains Rd, Suite 11, Eastchester, NY 10709-5537 | 2012-11-06 |
| Street Address |
3830 E VAN BUREN ST |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85008-6920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386741668 | Mountain Park Health Center | Clinic/Center | 3830 E Van Buren St, Phoenix, AZ 85008-6936 | 2006-09-20 |
| 1215591623 | Daniella De Marchiori Pedroso | Psychologist | 3830 E Van Buren St, Phoenix, AZ 85008-6920 | 2019-05-01 |
| 1275027542 | Shalona Kathryn Connolly | Dietitian, Registered | 3830 E Van Buren St, Phoenix, AZ 85008-6920 | 2018-06-19 |
| 1811408206 | Megan Jackson-hamus | Social Worker | 3830 E Van Buren St, Phoenix, AZ 85008-6920 | 2017-10-12 |
| 1184142465 | Starla Schmidt | Dietitian, Registered | 3830 E Van Buren St, Phoenix, AZ 85008-6920 | 2017-09-06 |
| 1073042255 | Hilary Blair Price | Nurse Practitioner | 3830 E Van Buren St, Phoenix, AZ 85008-6920 | 2017-06-09 |
| 1215479829 | Rachael Buckley | Nurse Practitioner | 3830 E Van Buren St, Phoenix, AZ 85008-6936 | 2016-11-14 |
| 1447703004 | Alyssa Ward | Dietitian, Registered | 3830 E Van Buren St, Phoenix, AZ 85008-6936 | 2016-08-01 |
| 1033569330 | Nichole Anguilm | Dietitian, Registered | 3830 E Van Buren St, Phoenix, AZ 85008-6920 | 2016-06-16 |
| 1295192060 | Nitika Singh | Psychologist | 3830 E Van Buren St, Phoenix, AZ 85008-6920 | 2016-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821607060 | Am Apnea and Tmj LLC | Durable Medical Equipment & Medical Supplies | 2303 N. 44thst., Suite 14-1008, Phoenix, AZ 85008 | 2020-07-23 |
| 1194341131 | Abdulbaril Olandapo Olagunju | Student in an Organized Health Care Education/Training Program | 2601 E Roosevelt Street, Valleywise Health, Phoenix, AZ 85008 | 2020-06-24 |
| 1376164632 | Abdul Rahman Raed Mustafa Halawa | Student in an Organized Health Care Education/Training Program | 2601 E Roosevelt St Valleywise Health, Phoenix, AZ 85008 | 2020-04-28 |
| 1245869460 | Zachary Masuda | Student in an Organized Health Care Education/Training Program | Valleywise Health Medical Center, 2601 E Roosevelt St, Phoenix, AZ 85008 | 2020-04-08 |
| 1942840145 | Cana Behavior LLC | Physical Therapist | 2412 N 36 Pl, Phoenix, AZ 85008 | 2020-01-15 |
| 1871158188 | Fred Gardezy | Student in an Organized Health Care Education/Training Program | Maricopa Integrated Health System 2601 E. Roosevelt St., Phoenix, AZ 85008 | 2019-05-02 |
| 1225692346 | Navkaran Singh Girgla | Student in an Organized Health Care Education/Training Program | 2601 East Roosevelt St., Phoenix, AZ 85008 | 2019-04-24 |
| 1316412323 | Southwest Human Developement | Early Intervention Provider Agency | 2850 N 24h Street, Phoenix, AZ 85008 | 2018-10-05 |
| 1558885970 | Mona Ridhwan Ziems | Midwife | 1919 N 31st St, Phoenix, AZ 85008 | 2017-07-27 |
| 1093244451 | Shana Cynamon | Audiologist | 1801 N 37th Pl, Phoenix, AZ 85008 | 2017-06-08 |
| Find all providers in zip 85008 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346847951 | Flourish Mental Wellness, Pllc | Psychologist | 112 N Central Ave Ste M26, Phoenix, AZ 85004-2309 | 2020-10-06 |
| 1881202042 | Sara L Cole | Psychologist | 3933 E Edna Ave Ste 101, Phoenix, AZ 85032-2127 | 2020-07-14 |
| 1871115311 | Aims-az, LLC | Psychologist | 1346 E. Mcdowell Rd, Phoenix, AZ 85006-2616 | 2020-05-07 |
| 1346890308 | Michael D Rabara | Psychologist | 1450 E Indian School Rd Ste 106, Phoenix, AZ 85014-4954 | 2019-09-12 |
| 1790331940 | Brittany Friedman | Psychologist | 650 E Indian School Rd Bldg 21, Phoenix, AZ 85012-1839 | 2019-08-14 |
| 1336705888 | Alice Claudia Pickering | Psychologist | 2955 W Villa Maria Dr, Phoenix, AZ 85053-1107 | 2019-05-09 |
| 1487217584 | Vitae Felix | Psychologist | 5010 E Warner Rd Ste 213, Phoenix, AZ 85044 | 2019-04-16 |
| 1346725249 | Katharine D Sluys | Psychologist | 205 N Phoenix Rd Ste A, Phoenix, OR 97535-9100 | 2018-09-27 |
| 1235626565 | Celice Korsten | Psychologist | 11020 N. Tatum Blvd., Ste. 100, Phoenix, AZ 85028 | 2018-04-23 |
| 1073028023 | Jodi Ralyn Cuneo | Psychologist | 5060 N 19th Ave Ste 101, Phoenix, AZ 85015-3211 | 2017-12-12 |
| Find all providers in PHOENIX | ||||
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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.