DR. WILLIAM FREDERICK STULTZ (NPI# 1528401932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528401932 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM FREDERICK STULTZ |
| Other Name | DR. FRED STULTZ |
| Credential | PHD |
| Practice Address |
1624 Bonforte Blvd Unit C Pueblo CO 81001-1679 |
| Practice Telephone | 7195461300 |
| Mailing Telephone | 7195461300 |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2013-04-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 539 | CO | Behavioral Health & Social Service Providers |
| Street Address |
1624 BONFORTE BLVD UNIT C |
| City | PUEBLO |
| State | CO |
| Zip Code | 81001-1679 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316380728 | Barbara Jo Hadley | Counselor | 1624 Bonforte Blvd, Unit C, Pueblo, CO 81001-1679 | 2013-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588222863 | 1111 Bonforte Opco LLC | Respite Care | 855 Hunter Dr., Pueblo, CO 81001 | 2019-06-03 |
| 1992276026 | Andrew Benjamin Basham | Counselor | 1003 Rupple St Pueblo Co 81001, 606, Pueblo, CO 81001 | 2018-12-16 |
| 1316456981 | Amy R Leibli | Nurse Practitioner | 1080 Chinook Lane, Pueblo, CO 81001 | 2017-09-26 |
| 1457781262 | Ron Concialdi | Dentist | 2037 Jerry Murphy Rd., Pueblo, CO 81001 | 2013-11-14 |
| 1609146950 | Natasha Liette Mondragon | Registered Nurse | 1302 E. 5th, Pueblo, CO 81001 | 2012-01-04 |
| 1023303575 | Malinda Lee Davis | Registered Nurse | 1302 E 5th, Pueblo, CO 81001 | 2011-06-13 |
| 1679876429 | Michael Edward Leyba | Substance Abuse Rehabilitation Facility | 4 Montebello Rd., Pueblo, CO 81001 | 2010-12-17 |
| 1609008796 | Laura Ann Mcmahon | Nurse Practitioner | 4020 Jerry Murphy Rd/, Pueblo, CO 81001 | 2009-08-21 |
| 1730380882 | Corrine Stella Tafoya | Counselor | 44 Calhoun Rd, Pueblo, CO 81001 | 2007-05-29 |
| 1518171008 | George Henry Beck | Dentist | 1700 N Salem Ave, Suite A, Pueblo, CO 81001 | 2007-05-10 |
| Find all providers in zip 81001 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629692058 | Rising Higher LLC | Marriage & Family Therapist | 200 W City Center Dr Ste 302, Pueblo, CO 81003-1030 | 2020-06-01 |
| 1831558022 | The Morrissey Institute, LLC. | Marriage & Family Therapist | 301 N Main St Ste 306, Pueblo, CO 81003-4517 | 2016-02-16 |
| 1568739688 | Linnea Tobias | Marriage & Family Therapist | 1606 Lake Ave, Pueblo, CO 81004-3343 | 2011-11-17 |
| 1811064173 | Chris Howard Leeman | Marriage & Family Therapist | 703 Minnequa Ave, Pueblo, CO 81004-3721 | 2006-11-29 |
| 1366043531 | Nicolle Mainthow | Marriage & Family Therapist | 1012 W Abriendo Ave, Pueblo, CO 81004-1128 | 2020-11-04 |
| 1205310216 | Laura Padilla | Marriage & Family Therapist | 2429 S Prairie Ave, Pueblo, CO 81005-2886 | 2018-09-17 |
| 1780052902 | Janet Fitzpatrick | Marriage & Family Therapist | 1012 W Abriendo Ave, Pueblo, CO 81004 | 2015-09-03 |
| 1265683890 | Jessica Belisle | Marriage & Family Therapist | 41 Montebello Rd, Suite 200, Pueblo, CO 81001-1379 | 2008-10-01 |
| 1306002027 | Michelle Morrissey | Marriage & Family Therapist | 1304 Chinook Ln, Pueblo, CO 81001-1851 | 2008-08-01 |
| 1184833881 | Bonnie Kay Marks | Marriage & Family Therapist | 1115 N Grand Ave, Suite 201, Pueblo, CO 81003-2867 | 2007-05-21 |
| Find all providers in PUEBLO | ||||
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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.