DR. STEPHEN LARSON (NPI# 1649230160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649230160 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN LARSON |
| Credential | PSY D |
| Practice Address |
352 Hommelville Rd Saugerties NY 12477-4205 |
| Practice Telephone | 9512853306 |
| Mailing Telephone | 9512853306 |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2011-01-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
018768-1 | NY | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
PS1267 | ME | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
TP1267 | ME | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
2584 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 433395199 | 05 | |
| NC | 6002550 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487759619 | Stephen Mark Larson | Optometrist | 314 Main St S, Sauk Centre, MN 56378-1349 | 2006-09-13 |
| 1699883876 | Stephen James Larson | Dentist | 777 Cuesta Dr Ste 100, Mountain View, CA 94040-3765 | 2006-08-28 |
| 1568465201 | Stephen Larson | Nurse Anesthetist, Certified Registered | 112 E 5th Ave, Antigo, WI 54409-2710 | 2005-05-26 |
| 1851802680 | Stephen Michael Larson | Specialist | 6333 Telegraph Ave, Oakland, CA 94609-1359 | 2017-10-19 |
| 1972980928 | Stephen Larson | Otolaryngology | 1120 15th St, Augusta, GA 30912-3403 | 2015-04-29 |
| 1700205382 | Stephen Nathaniel Larson | Veterinarian | 2845 Harlem Ave, Berwyn, IL 60402-2800 | 2014-04-10 |
| 1972733467 | Stephen A Larson | Social Worker | 1100 K Ave, La Grande, OR 97850-2131 | 2009-07-20 |
| 1033276357 | Stephen Joseph Larson | Dentist | 612 Rockdale Ave, Cincinnati, OH 45229-2919 | 2007-01-03 |
| 1386755775 | Stephen Larson | Emergency Medicine | 12303 De Paul Dr, Bridgeton, MO 63044-2512 | 2006-08-31 |
| 1003838459 | Stephen M Larson | Dentist | 6411 Fannin St, Houston, TX 77030-1501 | 2006-07-24 |
| Street Address |
352 HOMMELVILLE RD |
| City | SAUGERTIES |
| State | NY |
| Zip Code | 12477-4205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437611316 | Laurie J. Fischer | Licensed Practical Nurse | 32a Fortune Valley Ln, Saugherties, NY 12477 | 2019-04-01 |
| 1407315385 | Justin D Gray | Licensed Practical Nurse | 32 B Fortune Valley Lane, Saugerties, NY 12477 | 2019-03-19 |
| 1780166645 | Open Door Family Medical Center Inc | Clinic/Center | 16 W Bridge St Ste 4, Saugerties, NY 12477 | 2018-09-06 |
| 1609374503 | Rachel Caroline Brousseau | Physician Assistant | 2976 Us-9w, Saugerties, NY 12477 | 2018-01-25 |
| 1982145124 | Jacqueline Paunovic | Massage Therapist | 175 North Drive, Saugeties, NY 12477 | 2017-03-20 |
| 1902236201 | Brenda Belle-dunmore | Licensed Practical Nurse | 2683 Route 9w, Saugerties, NY 12477 | 2013-11-22 |
| 1780957811 | Deborah Anne Dickson | Registered Nurse | 10 John Yaeger Rd, Saugerties, NY 12477 | 2012-02-21 |
| 1225348907 | Jeane Catherine Mcmahon | Registered Nurse | 20 Leonard La, Saugerties, NY 12477 | 2010-10-15 |
| 1902116593 | Patricia Fricker | Registered Nurse | 39 Diamond Court, Saugerties, NY 12477 | 2010-10-15 |
| 1619285657 | Jay E. Brown | Psychologist | 310 Washington Avenue, Call Box A, Saugerties, NY 12477 | 2010-09-23 |
| Find all providers in zip 12477 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205494424 | Jacob Kaplan | Psychologist | 307 Lotus Ln, Saugerties, NY 12477-3459 | 2019-06-03 |
| 1346587862 | Jennica Laine-formisano | Psychologist | 148 Burt St, Saugerties, NY 12477-1907 | 2013-01-04 |
| 1922185529 | Thomas B Armstrong | Psychologist | 401 Commons Ln, Saugerties, NY 12477-5244 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396346060 | Alexandra Hittman | Psychologist | 26 Palisade St, Dobbs Ferry, NY 10522-2107 | 2020-11-07 |
| 1184225849 | Linda L Street | Psychologist | 165 Saint Regis Dr, Massapequa Park, NY 11762-3454 | 2020-11-07 |
| 1063012318 | Inga Korsgaard | Psychologist | 233 Broadway Rm 850, New York, NY 10279-0800 | 2020-10-27 |
| 1194324657 | Elizabeth Brunoski | Psychologist | 50 W 67th St Ste 5h, New York, NY 10023-6227 | 2020-10-25 |
| 1760081830 | Meagan Ryan | Psychologist | 1 3rd Ave Apt 516, Mineola, NY 11501-4340 | 2020-10-20 |
| 1912505587 | Elspeth Hayden Kelly | Psychologist | 519 8th Ave Fl 8, New York, NY 10018-6506 | 2020-10-15 |
| 1700484623 | Rena Lee Miller | Psychologist | 252 N 6th St Apt 17, Brooklyn, NY 11211-3367 | 2020-10-13 |
| 1558968842 | Ethan Eisen | Psychologist | 107 Lakeside Dr E, Lawrence, NY 11559-1718 | 2020-10-08 |
| 1790382398 | Katelynn Marie Faulkner | Psychologist | 1 Old Plank Rd # 1d, Clinton, NY 13323-1802 | 2020-10-06 |
| 1811594039 | Pinchus Feintuch | Psychologist | 1580 E 18th St Ste 101, Brooklyn, NY 11230-7261 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
| City | SAUGERTIES |
| Zip Code | 12477 |
Please comment or provide details below to improve the information on DR. STEPHEN LARSON.
| 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.