STACY LEE (NPI# 1629324959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629324959 |
| Entity Type | Individual |
| Full Name | STACY LEE |
| Credential | PH.D. |
| Practice Address |
501 S Johnstone Ave Suite 503 Bartlesville OK 74003-6622 |
| Practice Telephone | 9183376050 |
| Practice Fax Number | 9183376061 |
| Mailing Telephone | 9183376050 |
| Mailing Fax Number | 9183376061 |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2013-01-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers | ||
| N | 103TS0200X |
Psychologist Specialization: School |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972756500 | Stacy Kathleen Lee | Marriage & Family Therapist | 3705 Haven Ave # 119, Menlo Park, CA 94025-1011 | 2008-10-28 |
| 1225232309 | Stacy L. Lee | Radiology | 300 Miron Dr, Southlake, TX 76092-7862 | 2007-06-13 |
| 1366066755 | Stacy Lee | Pharmacist | 6601 W Thomas Rd, Phoenix, AZ 85033-5700 | 2020-06-02 |
| 1649812355 | Stacy M Lee | Case Manager/Care Coordinator | 2153 E Joyce Blvd, Fayetteville, AR 72703-4714 | 2019-10-14 |
| 1073169447 | Stacy Lynn Lee | Behavior Technician | 1237 Augusta West Pkwy, Augusta, GA 30909 | 2019-08-12 |
| 1124520598 | Stacy Lee | Chore Provider | 1840 E Calvada Blvd Ste 9, Pahrump, NV 89048-5843 | 2018-03-01 |
| 1477073534 | Stacy Lynn Lee | Nurse Practitioner | 14125 Steele Creek Rd, Charlotte, NC 28273-3968 | 2017-06-20 |
| 1982089686 | Stacy Janelle Lee | Nurse Practitioner | 168 S Howell St, Hillsdale, MI 49242-2040 | 2015-07-23 |
| 1659760767 | Stacy Lee | Counselor | 2275 Arlington Dr, San Leandro, CA 94578-1132 | 2015-01-13 |
| 1003236746 | Stacy Lee | Counselor | 584 Kentucky Ave, Woodland, CA 95695-2779 | 2014-04-21 |
| Street Address |
501 S JOHNSTONE AVE SUITE 503 |
| City | BARTLESVILLE |
| State | OK |
| Zip Code | 74003-6622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366400707 | Kenneth Spencer Wilson | Psychologist | 501 S Johnstone Ave, Bartlesville, OK 74003-6609 | 2006-05-03 |
| 1710293493 | Hannah Renee Feuerborn | Counselor | 501 S Johnstone Ave, Suite 510, Bartlesville, OK 74003-6622 | 2010-08-19 |
| 1659697589 | Rebekah Grace Koll | Counselor | 501 S Johnstone Ave, Bartlesville, OK 74003-6622 | 2010-04-16 |
| 1780825158 | Behavioral Health Group of Northeastern Oklahoma | Counselor | 501 S Johnstone Ave, Suite 510, Bartlesville, OK 74003-6622 | 2009-03-16 |
| 1356426381 | Kristin Leean Wilson | Counselor | 501 S Johnstone Ave, Suite 503, Bartlesville, OK 74003-6622 | 2006-10-26 |
| 1144326265 | Wilson Psychological Associates Pllc | Psychologist | 501 S Johnstone Ave, Suite 503, Bartlesville, OK 74003-6622 | 2006-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225637366 | Crystal Dawn Adams | Peer Specialist | 200 N Sante Fe Ave, Bartlesville, OK 74003 | 2020-10-20 |
| 1780226506 | Heather Leigh Shoesmith | Speech-Language Pathologist | 117 West 5th Street, Bartlesville, OK 74003 | 2019-10-14 |
| 1356995815 | Monica Elizabeth Mccleary | Case Manager/Care Coordinator | 1804 S Dewey Ave, Bartlesville, OK 74003 | 2019-08-01 |
| 1396209359 | Newview Oklahoma Inc. | Occupational Therapy Assistant | 102 Sw Frank Phillips Blvd, Bartlesville, OK 74003 | 2019-01-24 |
| 1952762403 | Lee Ann Bond | Case Manager/Care Coordinator | 700 S.w. Penn Ave, Bartlesville, OK 74003 | 2016-03-11 |
| 1194102897 | Tiffany Jones | Case Manager/Care Coordinator | 1679 S Oal Ave, Bartlesville, OK 74003 | 2015-05-01 |
| 1073913125 | Kaileigh Jo Johnson | Behavioral Analyst | 700 S. Pen Ave, Bartlesville, OK 74003 | 2014-08-26 |
| 1699190595 | Mindy Karyl Mccoy | Occupational Therapist | 7256 Cr 2145, Bartlesville, OK 74003 | 2014-02-28 |
| 1841612025 | Kori A Sauer | Nurse Practitioner | 501 E. Frank Phillips Blvd., Suite 202, Bartlesville, OK 74003 | 2014-01-07 |
| 1265876122 | Teri G Woodward | Community Health Worker | 325 S Osage, Bartlesville, OK 74003 | 2013-04-23 |
| Find all providers in zip 74003 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497111082 | Suzanne Huffman | Psychologist | 601 Vista Ln Trlr 88, Edmond, OK 73034-6329 | 2016-01-12 |
| 1790157394 | Jennifer Lucas Brusich | Psychologist | 5212 E 69th Pl, Tulsa, OK 74136-3407 | 2015-10-22 |
| 1144611336 | Kelly Davis | Psychologist | 9525 S 93rd East Ave, Tulsa, OK 74133-6160 | 2015-02-10 |
| 1558797589 | Blanca A Correa | Psychologist | 344139 E 740 Rd, Agra, OK 74824-8434 | 2013-09-23 |
| 1932546520 | Christina Dawn Willey | Psychologist | 8221 N 117th East Ave, Owasso, OK 74055-2603 | 2013-05-23 |
| 1841423845 | Anne Katherine Jacobs | Psychologist | 515 S Santa Fe Ave, Suite 106, Edmond, OK 73003-6210 | 2009-08-25 |
| 1306016118 | Diane Janice Willis | Psychologist | 4520 Ridgeline Dr, Norman, OK 73072-1729 | 2008-03-07 |
| 1821199217 | Marguerita Lynn Cagle | Psychologist | 10901 E 76th St N, Owasso, OK 74055-3631 | 2006-09-26 |
| 1003856741 | Kelly J Griffith | Psychologist | 1024 W Lakeridge Ave, Stillwater, OK 74075-2106 | 2006-06-08 |
| 1063056737 | Daniel Lawrence Gering | Psychologist | 1212 S Air Depot Blvd Ste 17, Midwest City, OK 73110-4860 | 2019-11-05 |
| Find all providers with the same taxonomy | ||||
| City | BARTLESVILLE |
| Zip Code | 74003 |
Please comment or provide details below to improve the information on STACY LEE.
| 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.