JOSEPH LEONARD DESTEFANO


Address: 1116 N 16th St, Lafayette, IN 47904-2119
Phone: 7654236300

JOSEPH LEONARD DESTEFANO (NPI# 1790928216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790928216
Entity Type Individual
Full Name JOSEPH LEONARD DESTEFANO
Credential MD
Practice Address 1116 N 16th St
Lafayette
IN 47904-2119
Mailing Address 1040 Sierra Dr
Suite 400 Attn: Mary Dean
Greenwood
IN 46143-7240
Practice Telephone 7654236300
Practice Fax Number 7654236301
Mailing Telephone 3178658797
Mailing Fax Number 3178598552
Enumeration Date 2009-04-14
Last Update Date 2016-12-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
01042109A IN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN 201069420L 05
IN 200080730 05

Other Providers JOSEPH DESTEFANO

NPI Name Taxonomy Address Enumeration
1275190738 Joseph Destefano Family Medicine 155 Academy Ave, Greenwood, SC 29646-3869 2019-05-21
1699251322 Joseph Robert Destefano Registered Nurse 380 Summit Ave, Steubenville, OH 43952-2667 2018-07-16
1770993636 Joseph Michael Destefano II Acupuncturist 8701 Truxton Ave, Los Angeles, CA 90045-3911 2014-04-30
1083658728 Joseph Louis Destefano Obstetrics & Gynecology 53 W White Horse Pike, Galloway, NJ 08205 2006-06-15
1508841032 Joseph Anthony Destefano Jr. Internal Medicine 800 N Justice St, Hendersonville, NC 28791-3410 2005-12-07

Office Location

Street Address 1116 N 16TH ST
City LAFAYETTE
State IN
Zip Code 47904-2119

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952370991 Corby Louise Thiel Nurse Practitioner 1116 N 16th St, Lafayette, IN 47904-2119 2006-03-14
1790334118 Cody Levi Nelson Nurse Practitioner 1116 N 16th St, Lafayette, IN 47904-2119 2019-09-09
1225500747 Genoia Beth Segal Registered Nurse 1116 N 16th St, Lafayette, IN 47904-2119 2018-12-21
1417444944 Ashley Turner Nurse Practitioner 1116 N 16th St, Lafayette, IN 47904 2018-04-19
1821596040 Elizabeth Ann Lana Registered Nurse 1116 N 16th St, Lafayette, IN 47904-2119 2018-01-23
1255846697 Kelli Ann Conlon Social Worker 1116 N 16th St, Lafayette, IN 47904-2119 2017-12-07
1750896569 Mick A Schoenradt Counselor 1116 N 16th St, Lafayette, IN 47904-2119 2017-12-04
1255869319 Amanda Marie Crosby Dietitian, Registered 1116 N 16th St, Lafayette, IN 47904-2119 2017-06-01
1962939652 Anne Caroline Johnson Physical Therapist 1116 N 16th St, Lafayette, IN 47904-2119 2017-05-12
1154705002 Mary C Eberle Social Worker 1116 N 16th St, Lafayette, IN 47904-2119 2015-07-09
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568998615 Angela Hands Physical Therapy Assistant 1260 North 17th Street, Lafayette, IN 47904 2017-05-11
1366894164 Kathryn Barnett Behavioral Analyst 2785 Cason St # 2, Lafayette, IN 47904 2016-07-06
1881972917 Rest Assured, LLC Durable Medical Equipment & Medical Supplies 180 Professional Ct., Lafayette, IN 47904 2011-07-22
1144514233 Michelle Cristin Singleton Dietitian, Registered 508 N 26th St, Lafayette, IN 47904 2011-06-06
1912134438 Jean D Trammel Marriage & Family Therapist 2000 Greenburg St, Bldg B, Suite A, Lafayette, IN 47904 2009-06-11
1902946056 Terry Richard Baker Optometrist 2300 Sagamore Parkway S, Lafayette, IN 47904 2007-02-07
1891862165 Becki A Bowditch Inc Social Worker 2201 Ferry Street, Lafayette, IN 47904 2006-11-29
1326121849 James Lowell Thomas Pediatrics 2300 Ferry St, Lafayette, IN 47904 2006-10-21
1700976719 Michael Leonard Bagnoli Dentist 2020 Union Street, Suite 200, Lafayette, IN 47904 2006-10-13
1255428801 Lynn Arlen Pestle Dentist 2550 Elmwood Avenue, Lafayette, IN 47904 2006-10-06
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Taxonomy Information

Taxonomy Code 2084P0800X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Psychiatry

Taxonomy Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548893043 Tms of Louisiana Psychiatry & Neurology 626 Verot School Rd Ste F, Lafayette, LA 70508-5094 2020-02-13
1386276996 Meredith Mealer Psychiatry & Neurology 808 S Public Rd Ste 102, Lafayette, CO 80026-2194 2020-02-11
1235772492 C Guedry LLC Psychiatry & Neurology 215 Bay Meadow Ln, Lafayette, LA 70507-2757 2019-10-21
1932498284 Karen Marie George Psychiatry & Neurology 2520 North University Avenue, Lafayette, LA 70507-5306 2011-04-06
1548401516 Ashley Jade Albarado Psychiatry & Neurology 3312 Kaliste Saloom Rd, Lafayette, LA 70508-7449 2009-03-20
1215119912 Winston Irving Levy Psychiatry & Neurology 403 Huntley Avenue, Lafayette, LA 70508 2007-12-04
1003006701 Dragoslav Gvozdjan Psychiatry & Neurology 415 N 26th St Ste 103, Lafayette, IN 47904-2855 2007-07-28
1356464283 Scott Dorian Mayers Psychiatry & Neurology 216 Saint Landry St, Lafayette, LA 70506-3534 2007-04-07
1285711770 Joni L Orazio Psychiatry & Neurology 119 Rue Fontaine, Lafayette, LA 70508 2006-11-01
1326123415 Edgardo R Concepcion Psychiatry & Neurology 1131 Rue Du Belier, Lafayette, LA 70506 2006-10-26
Find all providers in LAFAYETTE

Competitor

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City LAFAYETTE
Zip Code 47904

Improve Information

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Dataset Information

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.

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