JOHN E STAFFORD (NPI# 1730281403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730281403 |
| Entity Type | Individual |
| Full Name | JOHN E STAFFORD |
| Credential | PH D |
| Practice Address |
350 Salem Road Ste 1 Conway AR 72034 |
| Practice Telephone | 5013368300 |
| Practice Fax Number | 5013293572 |
| Mailing Telephone | 5013368300 |
| Mailing Fax Number | 5013293572 |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 9823P | AR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346469616 | John Sullivan Stafford | General Practice | 4226 Warpath Ave, Santa Fe, TX 77510-8615 | 2007-04-25 |
| 1881741767 | John Michael Stafford | Internal Medicine | 7435 Mrb Iv, Vanderbilt University Medical Center, Nashville, TN 37232-0001 | 2007-01-04 |
| 1730182247 | John M. Stafford | Family Medicine | 3800 Hollywood Rd Ste 101, Royalton Medical Center, Saint Joseph, MI 49085-8511 | 2005-05-30 |
| 1942852785 | John Martin Stafford | Anesthesiologist Assistant | 615 S New Ballas Rd Dept Of, Saint Louis, MO 63141-8221 | 2019-07-11 |
| 1932562402 | John Alan Stafford | Otolaryngology | 222 Piedmont Ave Ste 5200, Cincinnati, OH 45219-4222 | 2016-04-01 |
| 1043694714 | John Stafford | Social Worker | 504 5th St, Ferrysburg, MI 49409-5119 | 2015-07-13 |
| 1801078365 | John A Stafford | Chiropractor | 1750 E 87th St, Chicago, IL 60617 | 2007-11-27 |
| 1760512586 | John D Stafford | Nurse Practitioner | 449 Main St, Oneonta, NY 13820-2028 | 2007-03-07 |
| 1992871040 | John E Stafford | Dentist | 9220 Ellerbe Rd, Suite 100, Shreveport, LA 71106 | 2006-11-28 |
| 1831292358 | John Wiley Stafford | General Practice | 207 Westmark Blvd, Lafayette, LA 70506-7365 | 2006-09-07 |
| Street Address |
350 SALEM ROAD STE 1 |
| City | CONWAY |
| State | AR |
| Zip Code | 72034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083716021 | Susan E Schaefer | Psychologist | 350 Salem Road, Suite 1, Conway, AR 72034 | 2006-09-01 |
| 1144346628 | Nakia Jackson | Case Manager/Care Coordinator | 350 Salem Road, Suite #1, Conway, AR 72034 | 2007-03-22 |
| 1518099613 | Jamie Block | Counselor | 350 Salem Road, Suite #1, Conway, AR 72034 | 2007-03-12 |
| 1528190618 | Doris White | Case Manager/Care Coordinator | 350 Salem Road, Suite #1, Conway, AR 72034 | 2007-03-12 |
| 1104957414 | Laura Gottsponer | Social Worker | 350 Salem Road, Suite #1, Conway, AR 72034 | 2007-03-08 |
| 1215067624 | Julia M Wekkin | Counselor | 350 Salem Road, Suite #1, Conway, AR 72034 | 2007-03-06 |
| 1538298583 | Steve Newsome | Social Worker | 350 Salem Road, Suite #1, Conway, AR 72034 | 2007-03-05 |
| 1659400935 | Dianne S Skaggs | Social Worker | 350 Salem Road, Suite #1, Conway, AR 72034 | 2007-03-05 |
| 1174651467 | Melissa Belote | Case Manager/Care Coordinator | 350 Salem Road, Suite 1, Conway, AR 72034 | 2007-03-01 |
| 1720115132 | Regenia Tindall | Case Manager/Care Coordinator | 350 Salem Road, Suite #1, Conway, AR 72034 | 2007-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013563758 | Shelby M Perez | Case Manager/Care Coordinator | 3240 Stermer Rd, Conway, AR 72034 | 2019-08-16 |
| 1467932772 | Faith J Parfait | Licensed Practical Nurse | 1352 Watkins St, Conway, AR 72034 | 2018-08-16 |
| 1043790611 | David Adam Steinfeld | Nurse Practitioner | 855 S German Ln Ste 1, Conway, AR 72034 | 2018-08-14 |
| 1245728484 | Conway Behavioral Health, LLC | Psychiatry & Neurology | 2255 Sturgis Rd, Conway, AR 72034 | 2018-04-24 |
| 1972007292 | Eldercare of Arkansas IIi, Inc. | Assisted Living Facility | 1306 S. Donaghey, Conway, AR 72034 | 2018-03-21 |
| 1528561404 | Kouhei Kobayashi | Specialist/Technologist | 2201 Moix Blvd., Apt. 908, Conway, AR 72034 | 2018-03-16 |
| 1780191015 | Sydnie Thessing | Nurse Practitioner | 605 Dave Ward Drive #105, Conway, AR 72034 | 2018-01-09 |
| 1508371865 | Ebony Latreace Charleston | Case Manager/Care Coordinator | 3240 Stermer Road, Conway, AR 72034 | 2017-12-08 |
| 1689190647 | Denise Annette Aikman | Dentist | 1210 Hogan Lane, Suite 200, Conway, AR 72034 | 2017-08-21 |
| 1134669138 | Hortons Orthotic Lab, Inc. | Prosthetic/Orthotic Supplier | 635 Dave Ward, Suite 103, Conway, AR 72034 | 2017-02-24 |
| Find all providers in zip 72034 | ||||
| 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 |
|---|---|---|---|---|
| 1629426770 | Nicholas Mitrani | Psychologist | 4206 Prince Street, Conway, AR 72034-9398 | 2016-05-31 |
| 1255697330 | Conway Psychological Assessment Center | Psychologist | 1210 Hogan Ln, Suite 200, Conway, AR 72034-8001 | 2012-04-03 |
| 1851667349 | Melissa Moix | Psychologist | 1210 Hogan Ln Ste 200, Conway, AR 72034-8063 | 2012-03-28 |
| 1255564803 | Chrystal Lynne Johnston | Psychologist | 710 S Country Club Rd, Conway, AR 72034-9307 | 2009-08-31 |
| 1184752495 | Jennie May Cassidy | Psychologist | 204 University Blvd., Coastal Carolina University, Conway, SC 29528-6054 | 2007-02-28 |
| 1265527238 | William Edward Siegel | Psychologist | 3135 Tyler St, Conway, AR 72034-3456 | 2006-10-04 |
| 1336241223 | William Tadashi Nagahiro | Psychologist | 30 Pleasant St, Conway, NH 03818-2265 | 2006-09-02 |
| 1083716021 | Susan E Schaefer | Psychologist | 350 Salem Road, Suite 1, Conway, AR 72034 | 2006-09-01 |
| 1114578903 | Sarah Lindeman Root | Psychologist | 1100 Bob Courtway Dr Ste 9, Conway, AR 72032-4767 | 2019-09-24 |
| 1770082349 | Samantha Bellini | Psychologist | 81 Washington St, Conway, NH 03818 | 2018-02-08 |
| Find all providers in CONWAY | ||||
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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.