Celine Marie Stahl, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

G47410 Issued in CA

Practice address

84 Pemberwick Rd
Unit a
Greenwich, CT 06831-5044

Phone

(203) 622-8493

NPI assigned

Nov 18, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1353196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353196800000",
    "number": "1356685119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 PEMBERWICK RD",
            "address_2": "UNIT A",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068315044",
            "telephone_number": "203-622-8493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 PEMBERWICK RD",
            "address_2": "UNIT A",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068315044",
            "telephone_number": "203-622-8493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAHL",
        "first_name": "CELINE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-18",
        "last_updated": "2012-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CT",
            "license": "030326",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "150281-1",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G47410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sportsplus Physical Therapy LLC
• Richard Paul Squires, OD
• Mary E. Stacy, LCSW
• Parker Stacy, LPC
• Catherine Staffieri, RD
• Sarah Stamper, M.D.
• Susan Tracy Stanton, LMFT
• Robert Michael Stark, M.D.
• Melissa Sarah Starr, PSY.D.
• Daniella Slavcheva Stavreva-Zlatareva, M.D.

• Specialist in Greenwich, CT
• Providers in Greenwich, CT by specialty
• Specialist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2012; 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.