KIMBERLY SHONTELLE STEVENSON (NPI# 1568751501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568751501 |
| Entity Type | Individual |
| Full Name | KIMBERLY SHONTELLE STEVENSON |
| Practice Address |
2201 Bergenline Ave Union City NJ 07087-3582 |
| Practice Telephone | 2015583700 |
| Practice Fax Number | 2013925048 |
| Mailing Telephone | 2015583700 |
| Mailing Fax Number | 2013925048 |
| Enumeration Date | 2011-03-30 |
| Last Update Date | 2015-07-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609490341 | Kimberly Kaye Stevenson | Contractor | 518 Ne Malibu Dr, Lees Summit, MO 64064-2001 | 2020-05-28 |
| 1053818450 | Kimberly Carly Nicole Stevenson | Registered Nurse | 308 Manor Dr, Beckley, WV 25801-2538 | 2018-04-11 |
| 1063023406 | Kimberly Matreace Stevenson | Student in an Organized Health Care Education/Training Program | 1900 Gravier St, New Orleans, LA 70112-2262 | 2020-08-10 |
| 1295234177 | Kimberly Stevenson | Behavior Technician | 1750 Commerce Center Blvd, Fairborn, OH 45324-6333 | 2018-02-06 |
| 1366804684 | Kimberly Lola Stevenson | Student in an Organized Health Care Education/Training Program | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2016-03-25 |
| 1053733261 | Kimberly Jean Stevenson | Counselor | 152 Highway 7 S, Oxford, MS 38655-5392 | 2014-01-08 |
| 1790809986 | Kimberly Ann Stevenson | Occupational Therapist | 704 Longmire Rd Ste 101, Conroe, TX 77304-1850 | 2007-03-16 |
| Street Address |
2201 BERGENLINE AVE |
| City | UNION CITY |
| State | NJ |
| Zip Code | 07087-3582 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982780516 | Patricia Daly | Social Worker | 2201 Bergenline Ave, Union City, NJ 07087-3582 | 2006-10-27 |
| 1154801199 | Angienet Martinez | Case Manager/Care Coordinator | 2201 Bergenline Ave, Union City, NJ 07087-3582 | 2018-08-20 |
| 1194235101 | Daznette Oquendo | Social Worker | 2201 Bergenline Ave, Union City, NJ 07087-3582 | 2017-10-04 |
| 1174989131 | Maria Mores-silva | Social Worker | 2201 Bergenline Ave, Union City, NJ 07087-3582 | 2016-01-06 |
| 1962764266 | Diana Marcela Giraldo | Social Worker | 2201 Bergenline Ave, Second Floor, Union City, NJ 07087-3582 | 2012-06-12 |
| 1316249022 | Luz E Fontanez | Counselor | 2201 Bergenline Ave, Union City, NJ 07087-3582 | 2010-12-01 |
| 1487985057 | Mount Carmel Guild Behavioral Health System | Clinic/Center | 2201 Bergenline Ave, Union City, NJ 07087-3582 | 2010-01-21 |
| 1386765113 | Ahylzabeth Giannantonio | Social Worker | 2201 Bergenline Ave, Union City, NJ 07087-3582 | 2007-04-02 |
| 1366581803 | Cynthia A Rea | Registered Nurse | 2201 Bergenline Ave, 2nd Floor, Union City, NJ 07087-3582 | 2007-02-05 |
| 1497833321 | Ellen M Clark | Psychologist | 2201 Bergenline Ave, 2nd Floor Therapeutic Nursery, Union City, NJ 07087-3582 | 2006-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619580107 | Anzule Navarrete | Pediatrics | 3196 John F Kennedy Blvd, Union City, NJ 07087 | 2020-08-25 |
| 1457985491 | Everas Community Services, Inc. | Day Training, Developmentally Disabled Services | 4216 John F. Kennedy Blvd., Union City, NJ 07087 | 2020-02-28 |
| 1699269902 | Amit Amin | Dentist | 3700 John Fitzgerald Kennedy Blvd, Union City, NJ 07087 | 2018-06-20 |
| 1083120570 | Ah Medical PC | Psychiatry & Neurology | 3600 Bergenline Ave 2nd Floor, Ste 8, Union City, NJ 07087 | 2017-12-19 |
| 1225547862 | Coxphit LLC | Respite Care | 809 22nd Street, Unit 506, Union City, NJ 07087 | 2017-09-27 |
| 1811415433 | Umaila Iqbal | Physical Therapist | 416 Bay Ridge Parkway, Brooklyn, NY 07087 | 2017-09-04 |
| 1952853962 | Curren M Whitfield | Social Worker | 400 38th St Ste 222, Union City, NJ 07087 | 2016-10-26 |
| 1811340854 | Karen Samaniego | Social Worker | 2201 Bergenline Avenue Union City, Nj, Union City, NEW JERSEY 07087 | 2016-07-14 |
| 1881053072 | Carmen Laura Alejandro-valle | Acupuncturist | 727a 25th Street Apt B2, Union City, NJ 07087 | 2016-02-16 |
| 1295190536 | Jiten Dungarani | Physical Therapist | 500 Central Ave Apt 501, Union City, NJ 07087 | 2015-12-30 |
| Find all providers in zip 07087 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629624796 | Jaslyn Bailey | Counselor | 435 Basildon Cv, Union City, GA 30291-7150 | 2019-08-14 |
| 1881160307 | Juan Antonio Zermeno De Santos | Counselor | 5550 Hillcrest Dr, Union City, GA 30291-1078 | 2018-10-23 |
| 1649794397 | Adella Wooden | Counselor | 7149 Boulder Pass, Union City, GA 30291-5137 | 2017-08-02 |
| 1750755658 | Tatnai Whitehead | Counselor | 3792 Shenfield Dr, Union City, GA 30291-7155 | 2015-11-17 |
| 1497189567 | Robert Jabari Hendrix | Counselor | 7350 Poppy Way, Union City, GA 30291-3410 | 2013-08-26 |
| 1285982231 | Morgan F Green | Counselor | 2420 Clover St, Union City, CA 94587-5320 | 2012-08-23 |
| 1366564700 | Sessen Tekle | Counselor | 32445 Jacklynn Dr, Union City, CA 94587-5122 | 2007-04-05 |
| 1730203001 | Michelle Thi Mai | Counselor | 4611 Cabello St, Union City, CA 94587-4715 | 2007-03-19 |
| 1508901794 | Lawrence Charles Scott Jr. | Counselor | 2966 Flint St, Union City, CA 94587-1619 | 2007-02-21 |
| 1972667905 | George Masaji Nakama | Counselor | 4453 Cabello St, Union City, CA 94587-3928 | 2006-12-21 |
| Find all providers in UNION CITY | ||||
| City | UNION CITY |
| Zip Code | 07087 |
Please comment or provide details below to improve the information on KIMBERLY SHONTELLE STEVENSON.
| 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.