Stacey R Narduzzi, TLLP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301016074 Issued in MI

Practice address

595 Forest Ave Ste 7a
Plymouth, MI 48170-1777

Phone

(734) 446-5466

Fax

(734) 446-2716

NPI assigned

Feb 21, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Stepping Stones Wellness Center, PLLC

  • Clinical Psychologist
  • Plymouth, MI
  • NPI 1598038234
  NPD

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

{
    "created_epoch": "1582243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582243200000",
    "number": "1346873932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14224 BERWICK ST",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481544235",
            "telephone_number": "248-245-0920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 FOREST AVE STE 7A",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701777",
            "telephone_number": "734-446-5466",
            "fax_number": "734-446-2716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARDUZZI",
        "first_name": "STACEY",
        "middle_name": "R",
        "credential": "TLLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-21",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301016074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Nader
• Ryan Robert Nagy
• Maryam Namrood
• Misti Naples
• Mariam Naqvi
• Blkeis Nasser
• Mohamed Nasser, PHARMD
• Christin Cy Naughgle
• Victoria-Alysha Navarra
• Hever Navarro Quera

• Clinical Psychologist in Plymouth, MI
• Providers in Plymouth, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; 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.