DR. STEPHANIE L NASSAR (NPI# 1558764191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558764191 |
Entity Type | Individual |
Full Name | DR. STEPHANIE L NASSAR |
Credential | PH.D. |
Practice Address |
1821 Business Park Blvd Daytona Beach FL 32114-1230 |
Practice Telephone | 3863666716 |
Mailing Telephone | 3863666716 |
Enumeration Date | 2014-09-26 |
Last Update Date | 2020-03-20 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TR0400X |
Psychologist Specialization: Rehabilitation |
PY 9624 | FL | Behavioral Health & Social Service Providers |
Street Address |
1821 BUSINESS PARK BLVD |
City | DAYTONA BEACH |
State | FL |
Zip Code | 32114-1230 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316997679 | Timothy Lee Reid | Psychiatry & Neurology | 1821 Business Park Blvd, Daytona Va Clinic,westside Pavilion, Daytona Beach, FL 32114 | 2006-05-10 |
1710500764 | Lakeita Doster | Social Worker | 1821 Business Park Blvd, Daytona Beach, FL 32114-1230 | 2020-05-26 |
1598156028 | Stacey Polott | Psychologist | 1821 Business Park Blvd, Daytona Beach, FL 32114-1230 | 2015-02-05 |
1245628387 | Orlando Vamc | Clinic/Center | 1821 Business Park Blvd, Daytona Beach, FL 32114-1230 | 2014-12-23 |
1356751465 | Ashley Miles | Counselor | 1821 Business Park Blvd, Daytona Beach, FL 32114-1230 | 2014-04-29 |
1558791087 | Manjot Dhooper Leafgreen | Psychologist | 1821 Business Park Blvd, Daytona Beach, FL 32114-1230 | 2013-11-19 |
1215289970 | Desiree Lorraine King | Psychologist | 1821 Business Park Blvd, Daytona Beach, FL 32114-1230 | 2012-10-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376161380 | Evolution Health & Performance LLC | Physician Assistant | 244 S. Palmetto Ave, Daytona Beach, FL 32114 | 2020-07-07 |
1407480189 | Kierra Imani Kinsey | Behavior Technician | 1128-a Beville Rd, Daytona Beach, FL 32114 | 2020-03-02 |
1043776057 | Outreach Community Care Network Inc | Pharmacy | 240 N. Frederick Avenue, Daytona Beach, FL 32114 | 2019-02-14 |
1033681861 | Katherine Proppe | Specialist/Technologist | 1 Aerospace Blvd, Daytona Beach, FL 32114 | 2018-12-18 |
1841765047 | Anna L Smith | Nurse Practitioner | 339 Bill France Blvd Ste C, Daytona Beach, FL 32114 | 2018-10-04 |
1154806933 | Steve Anthony Lee | Family Medicine | 731 N. Clyde Morris Blvd, Daytona Beach, FL 32114 | 2018-09-27 |
1285116491 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1348 W International Speedway Blvd Ste 2, Daytona Beach, FL 32114 | 2018-09-04 |
1770085656 | Merina Lee | Occupational Therapist | 1159 Australia Ave., Daytona Beach, FL 32114 | 2018-03-06 |
1346752755 | Hand & Upper Extremity Surgery of Daytona Beach, LLC | Non-Pharmacy Dispensing Site | 1241 Ridgewood Ave, Daytona Beach, FL 32114 | 2017-10-26 |
1104347053 | Harry Herman Blanke IIi | Family Medicine | 201 N Clyde Morris Blvd, Suite 200, Halifax Health Family Medicine Residency Program, Daytona Beach, FL 32114 | 2017-06-30 |
Find all providers in zip 32114 |
Taxonomy Code | 103TR0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Rehabilitation |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790399897 | Ana M Orozco | Psychologist | 3778 Lake Margaret Dr, Orlando, FL 32812-6616 | 2020-09-04 |
1831745512 | Charleen Diaz | Psychologist | 771 Lucaya Dr, Kissimmee, FL 34758-3279 | 2019-08-17 |
1073175170 | Lina Maria Rivera | Psychologist | 566 Calibre Crest Pkwy Apt 103, Altamonte Springs, FL 32714-3628 | 2019-06-28 |
1407347040 | Yarisel Marrero Torres | Psychologist | 3501 W Vine St Ste 278, Kissimmee, FL 34741-4673 | 2018-05-18 |
1982120325 | Mindwealth Institute LLC | Psychologist | 151 Se 3rd Ave Apt 435, Delray Beach, FL 33483-4683 | 2017-08-17 |
1124562384 | Anabel Perez Rodriguez | Psychologist | 11075 Prairie Hawk Dr, Orlando, FL 32837-8129 | 2016-12-07 |
1740633544 | Pierre Jean Duvelsaint | Psychologist | 595 W Church St, Apt. 602, Orlando, FL 32805-2285 | 2016-07-15 |
1558713578 | Leidy Johana Ortega | Psychologist | 3910 Shoreview Dr, Kissimmee, FL 34744-0002 | 2016-07-01 |
1497104483 | Patricia Prieto | Psychologist | 13584 Crystal River Dr, Orlando, FL 32828-8443 | 2016-06-09 |
1497100788 | Suinda Enid Rodriguez I | Psychologist | 2118 Florida Soapberry Blvd, Orlando, FL 32828-4869 | 2016-04-25 |
Find all providers with the same taxonomy |
City | DAYTONA BEACH |
Zip Code | 32114 |
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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.