DR. STEPHANIE RENE GRAHAM (NPI# 1508167594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508167594 |
| Entity Type | Individual |
| Full Name | DR. STEPHANIE RENE GRAHAM |
| Credential | PHD |
| Practice Address |
702 N Blackhawk Ave Suite 209 Madison WI 53705-3357 |
| Practice Telephone | 6085098060 |
| Mailing Telephone | 6085098060 |
| Enumeration Date | 2010-11-08 |
| Last Update Date | 2010-11-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
2888-057 | WI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235744582 | Stephanie Graham | Physician Assistant | 1053 Bernice Rd, Rockledge, FL 32955-2201 | 2020-09-14 |
| 1306238704 | Stephanie Graham | Family Medicine | 100 Brevco Plz Ste 107, Lake St Louis, MO 63367-1392 | 2015-02-23 |
| 1740598176 | Stephanie Stephanie Graham | Registered Nurse | 369 Lakeview Dr, Byesville, OH 43723-9795 | 2010-09-20 |
| 1962623363 | Stephanie Elaine Graham | Dentist | 530 E Broadway St, Sparta, IL 62286-1816 | 2007-05-01 |
| 1073520821 | Stephanie Graham | Counselor | 541 Bertonley Ave, Charlotte, NC 28211-1503 | 2006-08-02 |
| 1467934034 | Stephanie Michelle Graham | Counselor | 1513 E Chapman Ave, Fullerton, CA 92831-4013 | 2018-08-30 |
| 1043706856 | Stephanie Graham | Physician Assistant | 11700 W 2nd Pl Ste 350, Lakewood, CO 80228 | 2018-07-04 |
| 1609239318 | Stephanie Graham | Behavioral Analyst | 4575 Se Dixie Hwy, Stuart, FL 34997-6826 | 2016-03-30 |
| 1962811521 | Stephanie V. Graham | Registered Nurse | 12033 Agency Rd, Parker, AZ 85344-7718 | 2014-08-07 |
| 1407278781 | Stephanie Lynn Graham | Naturopath | 4862 E Baseline Rd Ste 108, Mesa, AZ 85206-4668 | 2014-01-06 |
| Street Address |
702 N BLACKHAWK AVE SUITE 209 |
| City | MADISON |
| State | WI |
| Zip Code | 53705-3357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720089667 | Rhonda Reinholtz | Psychologist | 702 N Blackhawk Ave, Suite 100, Madison, WI 53705-3357 | 2005-08-02 |
| 1033677158 | Teresa Nyholt | Social Worker | 702 N Blackhawk Ave, Madison, WI 53705-3357 | 2019-03-07 |
| 1003324468 | Nrrc, Sc | Psychologist | 702 N Blackhawk Ave, Suite 100, Madison, WI 53705 | 2018-01-18 |
| 1093241390 | Javon Alyasiri | Social Worker | 702 N Blackhawk Ave, Madison, WI 53705-3357 | 2017-05-04 |
| 1720449168 | Angeline Muriel Elmer | Counselor | 702 N Blackhawk Ave, Madison, WI 53705-3357 | 2016-03-13 |
| 1033501713 | Shariety Gibbs | Counselor | 702 N Blackhawk Ave, Madison, WI 53705-3357 | 2015-03-04 |
| 1063804870 | Madison Psychotherapy Center, LLC | Counselor | 702 N Blackhawk Ave, Suite 205, Madison, WI 53705-3357 | 2015-03-03 |
| 1982027751 | Kristin Lynn Blaney | Counselor | 702 N Blackhawk Ave, Suite 205, Madison, WI 53705-3357 | 2014-01-29 |
| 1487091658 | Emily Barr Ruth, Psyd, LLC | Psychologist | 702 N Blackhawk Ave, Suite 209, Madison, WI 53705-3357 | 2013-05-29 |
| 1740522879 | Sarah Kohlstedt | Psychologist | 702 N Blackhawk Ave, Suite 209, Madison, WI 53705-3357 | 2013-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629563986 | Magdalena Maria Siodlak | Pharmacist | 2500 Overlook Terrace (119), Madison, WI 53705 | 2018-06-28 |
| 1104343243 | Aisling Margaret Tallman | Physician Assistant | 725 University Row, Apt 124, Madison, WI 53705 | 2017-08-29 |
| 1346785938 | Rachel Maria Sanabria | Social Worker | 4513 Vernon Blvd Ste 100, Madison, WI 53705 | 2017-01-05 |
| 1124482856 | Samantha Jo Juve | Social Worker | 313 Price Pl Ste 212, Madison, WI 53705 | 2016-04-08 |
| 1912373002 | Brittany Dennis | Counselor | 5005 University Avenue, Suite 100, Madison, WI 53705 | 2015-08-12 |
| 1225456981 | John Martin Floberg | Radiology | 2140, Med 4 Mailbox, Hslc, 750 Highland Ave., Madison, WI 53705 | 2014-03-31 |
| 1457693319 | Matthew Ryan May-curry | Psychiatry & Neurology | 2500 Overlook Ter # 116a, Madison, WI 53705 | 2013-03-19 |
| 1396083168 | Madison Psychiatric & Psychological Services | Psychiatry & Neurology | 702 N. Blackhawk Ave, #100, Madison, WI 53705 | 2013-01-29 |
| 1174872808 | Natasha Bulat | Massage Therapist | 5317 Old Middleton Rd, Room #102, 'hot Stone Therapy & Massage', Madison, WI 53705 | 2012-09-10 |
| 1033401609 | Ann B Braus | Family Medicine | 6209 Mineral Point Rd, Madison, WI 53705 | 2011-05-13 |
| Find all providers in zip 53705 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477197929 | Samuel David Lustgarten | Psychologist | 1025 W Johnson St Rm 303b, Madison, WI 53706-1706 | 2019-10-28 |
| 1902337785 | Carla Mae Davey | Psychologist | 333 E Campus Mall Rm 7, University Health Services, Madison, WI 53715-1740 | 2017-03-23 |
| 1558739300 | Hayley Shilling | Psychologist | 6602 Grand Teton Plz Ste 100, Madison, WI 53719-2905 | 2015-09-10 |
| 1568850840 | Belinda Gutierrez | Psychologist | 2500 Overlook Terrace, 116b, William S. Middleton Memorial Veterans Hospital, Madison, WI 53705-2286 | 2015-01-08 |
| 1750682092 | Jennifer O Mandel | Psychologist | 6602 Grand Teton Plz, Suite 100, Madison, WI 53719-1091 | 2010-11-03 |
| 1114088341 | James Henry Black | Psychologist | 310 N Midvale Blvd, Suite 202, Madison, WI 53705-3265 | 2006-12-12 |
| 1750440590 | Joshua Brandt Schiffman | Psychologist | 6314 Odana Rd Ste E, Madison, WI 53719-1129 | 2006-12-07 |
| 1437221470 | Behrend Counseling and Psychological Services LLC | Psychologist | 301 S Bedford St, Suite 4, Madison, WI 53703-3691 | 2006-11-14 |
| 1952378754 | Dave Minden | Psychologist | 702 N Blackhawk Ave Ste 104, Madison, WI 53705-3357 | 2006-03-01 |
| 1740271477 | Nicolle Elaine Levy | Psychologist | 16 N Carroll St, Suite 710, Madison, WI 53703-2716 | 2005-11-02 |
| Find all providers in MADISON | ||||
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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.