ALLEN J STUCKEY (NPI# 1982648960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982648960 |
| Entity Type | Individual |
| Full Name | ALLEN J STUCKEY |
| Credential | M.D. |
| Practice Address |
2600 Oakland Ave Elkhart IN 46517-1533 |
| Mailing Address |
330 Lakeview Dr Goshen IN 46528-9365 |
| Practice Telephone | 5745331234 |
| Practice Fax Number | 5745372652 |
| Mailing Telephone | 5745331234 |
| Mailing Fax Number | 5745372652 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2011-08-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
01047034A | IN | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
01047034A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200181130 | 05 | |
| IN | ANTHEM | 000000202073 | 01 |
| IN | RAILROAD MEDICARE PIN | P00024426 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811406010 | Allen Paul Stuckey | Counselor | 2369 2nd Ave, New York, NY 10035-3108 | 2017-09-20 |
| Street Address |
2600 OAKLAND AVE |
| City | ELKHART |
| State | IN |
| Zip Code | 46517-1533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013984467 | Steven D Bright | Social Worker | 2600 Oakland Ave, Elkhart, IN 46517-1533 | 2006-03-03 |
| 1003416108 | Rachel Lauer | Counselor | 2600 Oakland Ave, Elkhart, IN 46517-1597 | 2020-10-28 |
| 1619576444 | Kristina Partridge | Counselor | 2600 Oakland Ave, Elkhart, IN 46517-1597 | 2020-10-22 |
| 1013516475 | Emily Schrock | Counselor | 2600 Oakland Ave, Elkhart, IN 46517-1597 | 2020-10-18 |
| 1568061927 | William Larry | Counselor | 2600 Oakland Ave, Elkhart, IN 46517-1597 | 2020-10-18 |
| 1386241941 | Lauren Dickerson | Counselor | 2600 Oakland Ave, Elkhart, IN 46517-1597 | 2020-10-07 |
| 1063021509 | Cathleen Hollancid | Counselor | 2600 Oakland Ave, Elkhart, IN 46517-1597 | 2020-07-30 |
| 1407472814 | Natanael Fontan | Counselor | 2600 Oakland Ave, Elkhart, IN 46517-1597 | 2020-06-22 |
| 1639704265 | Jayme Culwell | Counselor | 2600 Oakland Ave, Elkhart, IN 46517-1597 | 2020-03-04 |
| 1346871670 | Misel R Vasoli | Counselor | 2600 Oakland Ave, Elkhart, IN 46517-1597 | 2020-01-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457743585 | Raymond Kraucunas | Pharmacist | 102 E Hively Ave., Elkhart, IN 46517 | 2015-02-26 |
| 1972834828 | Tyler Thomas Hawkins | Physical Therapy Assistant | 3965 Doral Ln., Elkhart, IN 46517 | 2010-01-15 |
| 1407008394 | Emily Anne Stults | Nurse Practitioner | 505 South Third St, Ste 160, Elkhart, IN 46517 | 2008-10-22 |
| 1902922453 | Assisted Living Concepts Inc | Assisted Living Facility | 27833 County Road 24, Elkhart, IN 46517 | 2007-03-22 |
| 1023145984 | Family Nursing Services, Inc. | Home Health | 58025 Cr 9, Elkhart, IN 46517 | 2007-02-27 |
| 1639178650 | Bethany L. Mcdaniel-vanderzwaag | Family Medicine | 3421 S Main St, Elkhart, IN 46517 | 2005-07-20 |
| 1770586737 | Timothy Alan Quist | Podiatrist | 24021 Us 33 East, Elkhart, IN 46517 | 2005-05-24 |
| 1649516469 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 2600 Morehouse Ave, Elkhart, IN 46517 | 2012-12-26 |
| 1538340716 | Timothy A Quist Dpm, PC | Podiatrist | 24021 Us 33 East, Elkhart, IN 46517 | 2007-11-16 |
| 1598889776 | Family Nursing Services, Inc. | Home Health | 58025 Cr 9, Elkhart, IN 46517 | 2007-03-16 |
| Find all providers in zip 46517 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659695278 | Harmony Medical Associates LLC | Psychiatry & Neurology | 11837 Wedgeport Ln, Fishers, IN 46037-7987 | 2010-03-25 |
| 1508046624 | Kearn D Hinchman D O Inc | Psychiatry & Neurology | 53779 Generations Dr Ste 1, South Bend, IN 46635-1576 | 2007-11-06 |
| 1144337791 | Benjamin Louis Troy | Psychiatry & Neurology | 230 East Day Road, Suite 160, Mishawaka, IN 46545-3463 | 2006-08-23 |
| 1770526618 | Elizabeth A Taylor | Psychiatry & Neurology | 3055 N Lake Ct, Newburgh, IN 47630 | 2006-06-14 |
| 1407807746 | Syed J Khan | Psychiatry & Neurology | 10765 Lantern Road, Suite 102, Fishers, IN 46038-3597 | 2006-05-12 |
| 1821060294 | Michael Welling | Psychiatry & Neurology | 2040 Shadeland Ave, Ste 200, Indianapolis, IN 46219-1734 | 2006-02-01 |
| 1184616294 | Fadia T Aldahan | Psychiatry & Neurology | 5502 East 16th Street, Suite A21, Indianapolis, IN 46218-4932 | 2005-08-16 |
| 1700337920 | Kledzik Psychiatric LLC | Psychiatry & Neurology | 9245 N Meridian St, 225, Indianapolis, IN 46260-1836 | 2016-10-24 |
| 1255714390 | Ahmed Montaser | Psychiatry & Neurology | 121 Buntin St, Vincennes, IN 47591-1320 | 2015-07-07 |
| 1215334008 | Mind Md LLC | Psychiatry & Neurology | 833 Park East Blvd, Lafayette, IN 47905-0785 | 2014-11-24 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ALLEN J STUCKEY.
| 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.