Rena Stacy Psy D PA

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

RENA STACY PSY D PA

Practice address

259 Rippling LN
Winter Park, FL 32789-2841

Phone

(561) 702-9216

NPI assigned

Oct 10, 2008

Last updated

Nov 21, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Rena Stacy, PSY.D.

Title

Psychologist

Phone

(561) 702-9216

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1223596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227225600000",
    "number": "1235381062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 RIPPLING LN",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892841",
            "telephone_number": "561-702-9216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 RIPPLING LN",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892841",
            "telephone_number": "561-702-9216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENA STACY PSY D PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-10",
        "last_updated": "2008-11-21",
        "status": "A",
        "authorized_official_last_name": "STACY",
        "authorized_official_first_name": "RENA",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "561-702-9216",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cade Jarrod Resnick, LMFT

• Clinical Psychologist in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.