DR. STACY ANN BRAY (NPI# 1689668345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689668345 |
| Entity Type | Individual |
| Full Name | DR. STACY ANN BRAY |
| Credential | PSYD |
| Practice Address |
2702 Cunningham Ave Ste A Joplin MO 64804-1570 |
| Practice Telephone | 4177821910 |
| Practice Fax Number | 4177821844 |
| Mailing Telephone | 4177821910 |
| Mailing Fax Number | 4177821844 |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2014-04-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
2005004515 | MO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 1689668345 | 05 | |
| KS | 200972540A | 05 | |
| MO | GREATER OZARKS RURAL PSYCHOLOGISTS | 1366779100 | 01 |
| Street Address |
2702 CUNNINGHAM AVE STE A |
| City | JOPLIN |
| State | MO |
| Zip Code | 64804-1570 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194960377 | Vickie Marie Cupp | Social Worker | 2702 Cunningham Ave, Ste A, Joplin, MO 64804-1570 | 2008-12-02 |
| 1144379926 | Jeanie Joanne Hight | Counselor | 2702 Cunningham Ave, Ste A, Joplin, MO 64804-1570 | 2007-01-09 |
| 1912085291 | Lindsey Katherine Brooks | Psychologist | 2702 Cunningham Ave, Ste A, Joplin, MO 64804-1570 | 2006-11-02 |
| 1669481495 | Behavior Management PC Inc | Psychologist | 2702 Cunningham Ave, Ste A, Joplin, MO 64804-1570 | 2006-08-08 |
| 1043201221 | Douglas A Brooks | Psychologist | 2702 Cunningham Ave, Ste A, Joplin, MO 64804-1570 | 2005-11-04 |
| 1427049980 | Scott M Gordon | Psychologist | 2702 Cunningham Ave, Ste A, Joplin, MO 64804-1570 | 2005-11-03 |
| 1699766089 | Jerry W Walker | Counselor | 2702 Cunningham Ave, Ste A, Joplin, MO 64804-1570 | 2005-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033718903 | Lisa Jo Moore | Nurse Practitioner | 2623 S Main Street, Nixa, MO 64804 | 2020-10-22 |
| 1346859600 | Centered and Connected LLC | Counselor | 2401 E 32nd St, Ste 10 #103, Joplin, MO 64804 | 2020-07-23 |
| 1649838780 | Nicole Lynn Egan | Social Worker | 3010 Mcclelland, Joplin, MO 64804 | 2019-06-04 |
| 1902361652 | Redings Mill Internal Care | Clinic/Center | 454 Redings Mill Rd, Joplin, MO 64804 | 2019-02-06 |
| 1447732508 | Urgent Care Travel, Inc | Clinic/Center | 5931 E 32nd Street, Joplin, MO 64804 | 2018-09-05 |
| 1912488891 | Karl G. Keczkemethy | Dietitian, Registered | 100 Mercy Way Ste 570, Joplin, MO 64804 | 2018-08-28 |
| 1790207546 | Jacksie Short | Dentist | 2819 E 29th St, Joplin, MO 64804 | 2017-07-13 |
| 1326574625 | Kristine Kwon Rowland | Nurse Practitioner | 100 Mercy Way Ste 320-330, Joplin, MO 64804 | 2017-05-05 |
| 1942735212 | West R Loveland | Counselor | 3230 S Wisconsin St Suite H, Joplin, MO 64804 | 2017-04-25 |
| 1174070205 | Tracy L Fry | Nurse Practitioner | 3333 Mcintosh Cir Ste 4, Joplin, MO 64804 | 2016-09-07 |
| Find all providers in zip 64804 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528349792 | Eric Allen Copeland | Psychologist | 2702 Cunningham Ave Ste A, Joplin, MO 64804-1593 | 2011-09-01 |
| 1376821892 | Fairman Psychological Services LLC | Psychologist | 2722 S. Main St., Suite A, Joplin, MO 64804 | 2011-08-01 |
| 1386767960 | Chad L Gerhart | Psychologist | 714 S Highland Ave, Joplin, MO 64801-5209 | 2007-04-09 |
| 1477637098 | Barrett Douglas Heise | Psychologist | 2503 S Jackson Ave, Joplin, MO 64804-1941 | 2006-10-24 |
| 1194808014 | Donald Austin Frisbie | Psychologist | 1930 Delaware Ave, Suite 3, Joplin, MO 64804-1059 | 2006-10-23 |
| 1104908599 | Vicky Lynn Mieseler | Psychologist | 2808 S Picher Ave, Joplin, MO 64804-1645 | 2006-10-19 |
| 1962450817 | Jan Snider Kent | Psychologist | 2650 E 32nd St Ste 221, Joplin, MO 64804-4300 | 2006-05-04 |
| 1760847214 | Herndon Adam Snider | Psychologist | 2650 E 32nd St, Suite 221, Joplin, MO 64804-4313 | 2015-12-29 |
| 1073986576 | Sooin Lee | Psychologist | 530 E 34th St, Joplin, MO 64804-3926 | 2015-11-05 |
| 1497144992 | Eve Lueker | Psychologist | 530 E 34th St, Joplin, MO 64804-3926 | 2015-01-21 |
| Find all providers in JOPLIN | ||||
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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.