DR. STACIE ADRIENNE WILSON (NPI# 1700208873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700208873 |
| Entity Type | Individual |
| Full Name | DR. STACIE ADRIENNE WILSON |
| Credential | PSY.D. |
| Practice Address |
3300 Academy Ave Churchland Psychiatric Associates Portsmouth VA 23703-3205 |
| Practice Telephone | 7574836404 |
| Practice Fax Number | 7574830737 |
| Mailing Telephone | 7574836404 |
| Mailing Fax Number | 7574830737 |
| Enumeration Date | 2014-01-09 |
| Last Update Date | 2014-01-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
0810004366 | VA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407081557 | Stacie Peek Wilson | Skilled Nursing Facility | 2701 Meridian Street North, Huntsville, AL 35811 | 2009-05-19 |
| 1902469075 | Stacie Michelle Wilson | Internal Medicine | 91 Florissant Oaks Shop Ctr, Florissant, MO 63031-3934 | 2019-04-15 |
| 1306112115 | Stacie Wilson | Pharmacist | 1019 Grandiflora Dr, Leland, NC 28451-7453 | 2012-03-26 |
| 1386884443 | Stacie Dionne Wilson | Social Worker | 420 W 5th Ave, Flint, MI 48503-2445 | 2009-03-03 |
| 1720248099 | Stacie Wilson | Technician | 10 S Main St Unit B, Weaverville, NC 28787-8463 | 2008-06-11 |
| Street Address |
3300 ACADEMY AVE CHURCHLAND PSYCHIATRIC ASSOCIATES |
| City | PORTSMOUTH |
| State | VA |
| Zip Code | 23703-3205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104819234 | Velma A Bacak | Psychiatry & Neurology | 3300 Academy Ave, Academy Crossing Medical Plaza, Portsmouth, VA 23703-3205 | 2005-08-24 |
| 1023623436 | Marla Jo Clancy | Nurse Practitioner | 3300 Academy Ave, Portsmouth, VA 23703-3205 | 2020-09-11 |
| 1598219214 | Angel Marie Williams-kent | Nurse Practitioner | 3300 Academy Ave, Portsmouth, VA 23703-3205 | 2016-08-10 |
| 1124473038 | Richardean Benjamin | Nurse Practitioner | 3300 Academy Ave, Portsmouth, VA 23703-3205 | 2016-04-28 |
| 1821421454 | Riverside Physician Services Inc | Psychologist | 3300 Academy Ave, Portsmouth, VA 23703-3205 | 2013-08-19 |
| 1568715613 | Melissa Gilbert Gomes | Nurse Practitioner | 3300 Academy Ave, Portsmouth, VA 23703-3205 | 2012-10-25 |
| 1558687954 | Tiffany Davis | Nurse Practitioner | 3300 Academy Ave, Portsmouth, VA 23703-3205 | 2010-04-12 |
| 1578728820 | Eileen P Pietila | Counselor | 3300 Academy Ave, Portsmouth, VA 23703-3205 | 2008-07-26 |
| 1760412183 | Lana Tucker Williams | Counselor | 3300 Academy Ave, Portsmouth, VA 23703-3205 | 2006-07-03 |
| 1821032079 | Martha A Jones | Nurse Practitioner | 3300 Academy Ave, Portsmouth, VA 23703-3205 | 2006-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174037444 | Kelly Foster | Massage Therapist | 3108 Tyre Neck Rd Ste D, Portsmouth, VA 23703 | 2017-11-25 |
| 1578072104 | Katherine Armstrong Wise | Behavior Technician | 3120 Verne Ave, Portsmouth, VA 23703 | 2017-09-27 |
| 1891223913 | Ashley Rebecca Anderson | Dentist | 5915 High Street W, Portsmouth, VA 23703 | 2017-06-02 |
| 1881126019 | Anas Elmahdi | Specialist | 5205 Sweetbriar C., 5205 Sweetbriar C., Portsmouth, VA 23703 | 2017-03-28 |
| 1578003554 | Elyse Buttery | Nurse Practitioner | Mast One 1040 University Blvd, Suite 200, Portsmouth, VA 23703 | 2017-02-24 |
| 1376948349 | Charles Douglas Knight | Military Health Care Provider | Uss Maryland Ssbn 738, Fpo, AA 23703 | 2014-11-03 |
| 1689929382 | Positive Connections, Inc | Community/Behavioral Health | 3823d Meherrin River Reach, Portsmouth, VA 23703 | 2012-07-18 |
| 1225319874 | Sanaz Namin | Pharmacist | 5601 High Street, Porstmouth, VA 23703 | 2011-09-08 |
| 1295029767 | Maggie Jackson | Dental Hygienist | 4000 Coast Guard Blvd., Portsmouth, VA 23703 | 2011-06-02 |
| 1679804892 | Amy Kathleenn Gaspar | Specialist/Technologist, Other | 4113 Pendleton Rd, Portsmouth, VA 23703 | 2010-01-28 |
| Find all providers in zip 23703 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932626231 | Child Specialty Services LLC | Psychologist | 11 King Charles Dr # 4b, Portsmouth, RI 02871-1446 | 2017-08-28 |
| 1457715476 | Unity Outreach Ministries of America, Inc | Psychologist | 1128 London Blvd, Portsmouth, VA 23704-2246 | 2016-04-06 |
| 1619392503 | Chestnut Hill Counseling Associates - Portsmouth LLC | Psychologist | 539 Islington St Ste 4, Portsmouth, NH 03801-4471 | 2014-02-28 |
| 1235400953 | Jennifer L Gray | Psychologist | 362 Sherburne Rd, Portsmouth, NH 03801-4744 | 2012-01-26 |
| 1578709176 | Douglas B. Bernon | Psychologist | 13 Baker Rd, Portsmouth, RI 02871-1708 | 2009-01-02 |
| 1568607521 | Joseph M. Carver, Ph.d., Inc. | Psychologist | 500 Chillicothe St, Suite 306, Portsmouth, OH 45662-4179 | 2008-12-04 |
| 1801011754 | Sara Julianne Lauren | Psychologist | 118 Maplewood Ave Unit B2, Portsmouth, NH 03801-3787 | 2007-04-16 |
| 1063557734 | Christina A Carmody | Psychologist | 3116 Rolen Dr, Portsmouth, VA 23703-4726 | 2007-02-21 |
| 1760521843 | Jeffrey M Wagner | Psychologist | 500 Market Street 1-g, Portsmouth, NH 03801 | 2007-02-06 |
| 1346316387 | Ellen Harrison Barnett | Psychologist | 58 Washington St Ste 1, Portsmouth, NH 03801-4639 | 2006-11-28 |
| Find all providers in PORTSMOUTH | ||||
| City | PORTSMOUTH |
| Zip Code | 23703 |
Please comment or provide details below to improve the information on DR. STACIE ADRIENNE WILSON.
| 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.