DR. STEPHANIE LYNAM (NPI# 1972912079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972912079 |
| Entity Type | Individual |
| Full Name | DR. STEPHANIE LYNAM |
| Other Name | DR. STEPHANIE RICCARDI |
| Credential | PSY.D. |
| Practice Address |
175 Main St S Woodbury CT 06798 |
| Mailing Address |
4 Karlak St Seymour CT 06483-2618 |
| Practice Telephone | 2034560339 |
| Mailing Telephone | 9144563836 |
| Enumeration Date | 2014-08-04 |
| Last Update Date | 2019-01-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 003614 | CT | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
68 020741 | NY | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 950 Campbell Ave, West Haven, CT 065162770 | 2039091858 |
| Street Address |
175 MAIN ST S |
| City | WOODBURY |
| State | CT |
| Zip Code | 06798 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881608263 | Kenneth L Burke | Optometrist | 175 Main St S, Woodbury, CT 06798-3405 | 2006-07-28 |
| 1780142265 | Martin Raymond Ariola | Student in an Organized Health Care Education/Training Program | 175 Main St S, Woodbury, CT 06798-3448 | 2019-03-04 |
| 1003357914 | Birch Psychology LLC | Psychologist | 175 Main St S, Woodbury, CT 06798-3448 | 2017-03-10 |
| 1659543031 | Kenneth L. Burke, O.d. | Eyewear Supplier (Equipment, not the service) | 175 Main St S, Woodbury, CT 06798-3448 | 2008-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427655422 | Tara Tranguch | Naturopath | 74 Main Street North, Bldg 2 - Apt 204, Woodbury, CT 06798 | 2020-10-03 |
| 1831469949 | Shannon Marie Alther | Social Worker | 660 Main St S Ste 5, Woodbury, CT 06798 | 2012-01-05 |
| 1942483060 | Karen P Sheehan-wolff | Social Worker | 39 Sherman Hill Road, Cornerstone Professional Park, Suite C101, Woodbury, CT 06798 | 2007-12-12 |
| 1104905462 | Andrea Jill Needleman | Family Medicine | 4 South Pomperaug Ave, Woodbury, CT 06798 | 2006-11-06 |
| 1609801497 | James B Marshall | Dentist | 357 Main Street South, Woodbury, CT 06798 | 2006-07-11 |
| 1629020797 | Karen Bavaro Lawlor | Chiropractor | 2 White Oak Road, Bavaro Chiropractic Center LLC, Woodbury, CT 06798 | 2006-05-17 |
| 1346643251 | Katherine Layman | Naturopath | 787 Main St S Unit A-5, Woodbury, CT 06798 | 2014-10-06 |
| 1639302847 | Douglas Foster Thompson | Counselor | 51 Sherman Hill Rd, Building A, Suite 104c, Woodbury, CT 06798 | 2009-09-03 |
| 1770562720 | Woodbury Physical Therapy LLC | Physical Medicine & Rehabilitation | 264 Main St S, Ste 200, Woodbury, CT 06798 | 2006-01-10 |
| 1528674819 | Flourishing Roots Therapy LLC | Social Worker | 51 Sherman Hill Rd, Building A, Suite 202, Woodbury, CT 06798-0679 | 2020-09-22 |
| Find all providers in zip 06798 | ||||
| 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 |
|---|---|---|---|---|
| 1235609884 | Elizabeth Kennedy Ward | Psychologist | 7582 Currell Blvd Suite 208, Woodbury, MN 55125 | 2018-11-27 |
| 1073027587 | Victor Counseling and Consultant Services, LLC | Psychologist | 6043 Hudson Rd Ste 355, Woodbury, MN 55125-1017 | 2017-11-20 |
| 1720492671 | Stephanie Milz | Psychologist | 721 Commerce Drive, Woodbury, MN 55125 | 2014-06-19 |
| 1790015568 | Laura Elizabeth Accomando | Psychologist | 6043 Hudson Rd Ste 290, Woodbury, MN 55125-1002 | 2009-12-30 |
| 1437488475 | Beth M Lutz | Psychologist | 7616 Currell Blvd Ste 190, Woodbury, MN 55125-8202 | 2009-12-22 |
| 1518132737 | Brenda Lynn Destache | Psychologist | 1976 Woodale Dr, Woodbury, MN 55125 | 2008-04-29 |
| 1780707059 | Ruth Cantor Mayer | Psychologist | 1080 Main St S, Suite 5, Woodbury, CT 06798-3810 | 2007-04-09 |
| 1477612992 | Stuart Pace | Psychologist | 35 Fairbanks Blvd, Woodbury, NY 11797-2603 | 2006-12-08 |
| 1215001136 | Therese Kohs Gilbertson | Psychologist | 2150 Radio Dr, Woodbury, MN 55125-9453 | 2006-11-20 |
| 1093804338 | Kathlyn Elvera Nelson | Psychologist | 7616 Currell Blvd Ste 280, Woodbury, MN 55125-2296 | 2006-10-12 |
| Find all providers in WOODBURY | ||||
Please comment or provide details below to improve the information on DR. STEPHANIE LYNAM.
| 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.