STACEY L. SHIPLEY (NPI# 1710196795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710196795 |
| Entity Type | Individual |
| Full Name | STACEY L. SHIPLEY |
| Credential | CLINICAL PSYCHOLOGY |
| Practice Address |
4730 College Dr Vernon TX 76384-4009 |
| Practice Telephone | 9405524055 |
| Mailing Telephone | 9405524055 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 32024 | TX | Behavioral Health & Social Service Providers |
| Street Address |
4730 COLLEGE DR |
| City | VERNON |
| State | TX |
| Zip Code | 76384-4009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245344472 | Health and Human Services Commission | Psychiatric Hospital | 4730 College Dr, Vernon, TX 76384-4009 | 2006-08-17 |
| 1255896312 | Michele Lynne Borynski | Psychologist | 4730 College Dr, Vernon, TX 76384-4009 | 2019-02-04 |
| 1225509631 | Michelle Renee Strange | Nurse Practitioner | 4730 College Dr, Vernon, TX 76384-4009 | 2018-12-10 |
| 1558736306 | Stephanie Clark Swalwell | Nurse Practitioner | 4730 College Dr, Adolescent Forensic Program, Vernon, TX 76384-4009 | 2015-12-04 |
| 1871997114 | Jeffrey Dobbins | Nurse Practitioner | 4730 College Dr, Vernon, TX 76384-4009 | 2014-10-15 |
| 1467853945 | Travis Franklin Graham-wyatt | Dentist | 4730 College Dr, Vernon, TX 76384-4009 | 2014-09-15 |
| 1306283346 | Francis Stodolink | Nurse Practitioner | 4730 College Dr, Vernon, TX 76384-4009 | 2013-05-31 |
| 1265781066 | Tameka Nicole Lewis | Psychologist | 4730 College Dr, Vernon, TX 76384-4009 | 2012-09-07 |
| 1154559789 | Nita L Patterson | Clinical Nurse Specialist | 4730 College Dr, Vernon, TX 76384-4009 | 2009-06-22 |
| 1790931962 | Rosa Linda Martinez | Nurse Practitioner | 4730 College Dr, Vernon, TX 76384-4009 | 2008-08-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467097972 | Vera Marie Kemp | Registered Nurse | 2210 14th St, Vernon, TX 76384 | 2019-11-08 |
| 1477970598 | Vernon Smiles, PC | Dentist | 4409 Hillcrest Dr., Vernon, TX 76384 | 2014-03-26 |
| 1215138664 | Jc Parmer | Dentist | 220 Paradise St, Suite B, Vernon, TX 76384 | 2007-05-31 |
| 1013058486 | Northside Independent School District | Local Education Agency (LEA) | 18040 Hwy. 283, Vernon, TX 76384 | 2007-02-09 |
| 1316026602 | Babubhai M Patel | Internal Medicine | 4730 College St, Ntsh Vernon Campus, Vernon, TX 76384 | 2006-11-06 |
| 1992757579 | Vernon Care Center, L.p. | Durable Medical Equipment & Medical Supplies | 2301 Texas Street, Vernon, TX 76384 | 2006-05-16 |
| 1982655163 | City of Vernon | Ambulance | 4109 Wilbarger, Vernon, TX 76384 | 2006-05-13 |
| 1154395168 | Kimberly B. Horn | Occupational Therapist | 4301 College Drive, Suite 400, Vernon, TX 76384 | 2006-02-15 |
| 1316931835 | Wilbarger County Hospital District | Medicare Defined Swing Bed Unit | 920 Hillcrest Dr, Vernon, TX 76384 | 2005-09-12 |
| 1003388406 | Gustavo Alcantar Aleman Jr. | Nurse Practitioner | 4730 College Drive, Vernon, TX 76384 | 2018-12-23 |
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| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316309743 | Pease River Associates, Pllc | Psychologist | 1900 Pease St Ste 308, Vernon, TX 76384-4625 | 2016-03-24 |
| 1700110293 | Nancy Patricia Grechko | Psychologist | 27 Hartford Tpke Ste 201, Vernon, CT 06066 | 2009-09-30 |
| 1275717019 | Center for Family & Individual Psychotherapy, LLC | Psychologist | 76 S Frontage Rd, Vernon, CT 06066-5535 | 2007-12-27 |
| 1255413233 | Avanente Tamagnini | Psychologist | 276 Route 94, Vernon, NJ 07462-0397 | 2006-10-19 |
| 1043314263 | Health and Human Services Commission | Psychologist | 4730 College Drive, Vernon, TX 76384-4009 | 2006-09-08 |
| 1881643799 | Charles A Vassilopoulos | Psychologist | 147 Union St, Vernon, CT 06066-3025 | 2006-05-08 |
| 1255896312 | Michele Lynne Borynski | Psychologist | 4730 College Dr, Vernon, TX 76384-4009 | 2019-02-04 |
| 1588874556 | Gloria E. Bell | Psychologist | 4730 College Dr, Vernon, TX 76384-4009 | 2007-05-22 |
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| 1659986495 | Kennetha L. Fry Phd Pllc | Psychologist | 2626 S Loop W Ste 545, Houston, TX 77054-2679 | 2020-09-09 |
| 1912519802 | Monica Munoz | Psychologist | 1204 Greendale Dr, Bedford, TX 76022-7789 | 2020-08-20 |
| 1033720305 | Albabeth Sarraga Rios | Psychologist | 2801 Bacon Ranch Rd, Killeen, TX 76542-3070 | 2020-08-11 |
| 1558988030 | Catherine Wisenberg Abrahamson | Psychologist | 2806 Winding Shore Ln, Katy, TX 77450-5707 | 2020-06-30 |
| 1396361788 | Tyler Stone | Psychologist | 9515 Curry Landing Dr, Houston, TX 77095-7235 | 2020-06-22 |
| 1770108839 | Tamara Knapp-grosz | Psychologist | 9312 Benefit Dr, Aubrey, TX 76227-5726 | 2020-06-14 |
| 1548885296 | Marlene Williams | Psychologist | 12810 Hillcrest Rd # B123, Dallas, TX 75230-1525 | 2020-06-09 |
| 1386267201 | Courtney Nelson | Psychologist | 10420 Estate Ln, Dallas, TX 75238-2211 | 2020-05-27 |
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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.