MARK STAFFORD (NPI# 1699104240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699104240 |
Entity Type | Individual |
Full Name | MARK STAFFORD |
Credential | BCBA,LPA |
Practice Address |
1100 W Nc Highway 54 Byp Apt. 40 Chapel Hill NC 27516-2817 |
Practice Telephone | 9196361948 |
Mailing Telephone | 9196361948 |
Enumeration Date | 2013-11-04 |
Last Update Date | 2015-08-21 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 103T00000X | Psychologist | 1492 | NC | Behavioral Health & Social Service Providers |
Y | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
1492 | NC | Behavioral Health & Social Service Providers |
N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841219748 | Mark A Stafford | Internal Medicine | 1189 Allbritton Rd, Warrior, AL 35180-2663 | 2006-07-19 |
1215901657 | Mark D Stafford | Physician Assistant | 6011 E Woodmen Rd Ste 360, Colorado Springs, CO 80923-2606 | 2006-02-14 |
1760990444 | Mark Kenneth Stafford | Social Worker | 150 E Market St, Warren, OH 44481-1141 | 2018-01-17 |
1457516155 | Mark Laverne Stafford | Dentist | 1460 7th Street, #205, Santa Monica, CA 90401 | 2008-07-22 |
Street Address |
1100 W NC HIGHWAY 54 BYP APT. 40 |
City | CHAPEL HILL |
State | NC |
Zip Code | 27516-2817 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417599309 | Brandon Ali Koroni | Dentist | 385 S Columbia St., Chapel Hill, NC 27516 | 2019-10-11 |
1225512718 | Brian Pietrosimone | Specialist/Technologist | University of North Carolina 209 Fetzer Hall, Chapel Hill, NC 27516 | 2018-09-20 |
1639691553 | Alexander S. Arab, Dba, Ims Evals, LLC | Physical Therapist | 103 Springhill Forest Place, Chapel Hill, NC 27516 | 2017-07-12 |
1730618000 | William E Sanders | Physical Therapist | 205 Weyer Dr., Chapel Hill, NC 27516 | 2017-06-08 |
1700336955 | Chatham Pediatric Dentistry | Dentist | 79 Falling Springs Dr., Suite 120, Chapel Hill, NC 27516 | 2016-10-12 |
1295152601 | Chun Xiang Li | Nurse Practitioner | 128 North Fields Circle, Chapel Hill, NC 27516 | 2014-03-24 |
1518211705 | Abigail Debra Zeveloff | Counselor | 1209b Hillsborough Rd, Chapel Hill, NC 27516 | 2012-11-09 |
1124315411 | Eric James Arehart | Pediatrics | 103 Crofton Springs Pl, Chapel Hill, NC 27516 | 2011-07-07 |
1336440312 | Amy Lynn Ford | Physician Assistant | 101 Manning Drive Cb #7160, Chapel Hill, NC 27516 | 2010-11-08 |
1689807224 | Natasha Leigh Blazer | Counselor | 110 New Stateside Dr, Chapel Hill, NC 27516 | 2009-08-31 |
Find all providers in zip 27516 |
Taxonomy Code | 103TM1800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Mental Retardation & Developmental Disabilities |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922416528 | Robert Allen Miller | Psychologist | 718 Chalice St, Durham, NC 27705-1717 | 2014-07-27 |
1669810172 | J-1 Consultants LLC | Psychologist | 2801 Gaya Ct, Hillsborough, NC 27278-7364 | 2013-06-06 |
1396183802 | J-1 Consultants LLC | Psychologist | 1744 Coleman Loop Rd, Hillsborough, NC 27278-9286 | 2013-06-06 |
1063850675 | J-1 Consultants LLC | Psychologist | 410 Millstone Dr Ste D, Hillsborough, NC 27278-9047 | 2013-06-06 |
1760820336 | J-1 Consultants LLC | Psychologist | 315 Old Allensville Road, Roxboro, NC 27573 | 2013-06-05 |
1407293194 | J-1 Consultants | Psychologist | 101 Harambee Dr, Efland, NC 27243-9589 | 2013-06-04 |
1558708255 | J-1 Consultants LLC | Psychologist | 845 Nelson Loop Rd, Roxboro, NC 27574-7280 | 2013-06-04 |
1962740860 | Jennifer Paige Roberts | Psychologist | 4109 Converse Dr, Raleigh, NC 27609-5933 | 2013-01-28 |
1447529466 | Jacynthia Swann | Psychologist | 405 Morson St Ste A, Raleigh, NC 27601-1559 | 2011-12-20 |
1609172121 | Tamara Puddy | Psychologist | 415 Ansley St, Rocky Mount, NC 27803-2104 | 2011-01-31 |
Find all providers with the same taxonomy |
City | CHAPEL HILL |
Zip Code | 27516 |
Please comment or provide details below to improve the information on MARK STAFFORD.
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.