STACEY MAE AUSTIN (NPI# 1861773848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861773848 |
| Entity Type | Individual |
| Full Name | STACEY MAE AUSTIN |
| Credential | PSY.D. |
| Practice Address |
451 N La Salle Dr Chicago IL 60654-4510 |
| Mailing Address |
2550 E Foothill Blvd Pasadena CA 91107-3406 |
| Practice Telephone | 3125664478 |
| Enumeration Date | 2011-09-02 |
| Last Update Date | 2019-04-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831696111 | Stacey Anne Austin | Nurse Practitioner | 1915 E 14 Mile Rd, Birmingham, MI 48009-7244 | 2018-04-12 |
| 1659672822 | Stacey Ann Austin | Acupuncturist | 2658 Main St, Newfane, NY 14108-1033 | 2010-11-04 |
| Street Address |
451 N LA SALLE DR |
| City | CHICAGO |
| State | IL |
| Zip Code | 60654-4510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245532951 | Ruchira Gulati Hantman | Social Worker | 451 N La Salle Dr, Chicago, IL 60654-4510 | 2010-12-01 |
| 1164910485 | Priya Kapoor | Social Worker | 451 N La Salle Dr, Chicago, IL 60654-4510 | 2018-04-23 |
| 1356765986 | Rebecca Gillett | Social Worker | 451 N La Salle Dr, Chicago, IL 60654-4510 | 2014-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912523564 | Male-order Men's Health LLC | Pharmacy | 710 N. Dearborn St., Chicago, IL 60654 | 2020-06-19 |
| 1669014924 | Tanner John Magee | Chiropractor | 415 N. Lasalle St., Suite 605, Chicago, IL 60654 | 2019-10-08 |
| 1144873886 | Fraeda Friedman | Social Worker | 451 N Lasalle Dr, Chicago, IL 60654 | 2019-07-22 |
| 1568024040 | Robin Elizabeth Miller | Dietitian, Registered | 770 North Lasalle Street, Suite 800, Chicago, IL 60654 | 2019-07-03 |
| 1487115804 | Ontario Street Operatory Fac | Clinic/Center | 22 W Ontario Street Operatory, Chicago, IL 60654 | 2019-03-28 |
| 1134697683 | Ghazal Kermani | Dentist | 350 North Clark Street, Suite 600, Chicago, IL 60654 | 2018-11-02 |
| 1225516842 | Tyler Jonathan Hinkel | Radiology | 33 W Ontario St Apt 46f, Chicago, IL 60654 | 2018-08-06 |
| 1710495312 | Mia Zarlengo | Dietitian, Registered | 770 N Lasalle Dr, 800, Chicago, IL 60654 | 2018-01-17 |
| 1568970341 | Kelly Lyons | Acupuncturist | 770 N Lasalle St., Suite 800, Chicago, IL 60654 | 2018-01-16 |
| 1407367568 | Amy Mcnicholas | Counselor | 721 N Lasalle, Chicago, IL 60654 | 2017-10-17 |
| Find all providers in zip 60654 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235647470 | Laurie Gayes Thompson | Psychologist | 225 E Chicago Ave # 2, Chicago, IL 60611-2991 | 2018-01-22 |
| 1558874891 | Claire Ashling Coyne | Psychologist | 225 E Chicago Ave # 10b, Chicago, IL 60611-2991 | 2017-11-08 |
| 1659721967 | Micah Ioffe | Psychologist | 1300 W Belmont Ave Ste 501, Chicago, IL 60657 | 2016-06-16 |
| 1609243856 | Humboldt Behavioral Health Group | Psychologist | 3317 W Le Moyne St, Chicago, IL 60651-2452 | 2015-08-24 |
| 1659610491 | Alexandra M Psihogios | Psychologist | 1110 W Columbia Ave, Apt 1n, Chicago, IL 60626-4522 | 2013-02-13 |
| 1265781934 | Anthony Thomas Vesco | Psychologist | 225 E Chicago Ave # 10a, Chicago, IL 60611-2991 | 2012-09-10 |
| 1689951519 | Jesse Klein | Psychologist | 639 W Diversey Pkwy Ste 207, Chicago, IL 60614-1535 | 2011-11-06 |
| 1639357486 | Victor J Bernstein | Psychologist | 2045 W Waveland Ave, Chicago, IL 60618-4949 | 2008-02-04 |
| 1114113487 | Bradley C Stolbach | Psychologist | 6700 S. Promontory Drive, Chicago, IL 60649 | 2007-09-20 |
| 1023227469 | Thomas F. Barrett | Psychologist | 1030 N. Clark St., Suite 303, Chicago, IL 60610 | 2007-05-22 |
| Find all providers in CHICAGO | ||||
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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.