Individual provider Active NPI

Stacyann Maise, PSYD

  • Psychologist
  • Poughkeepsie, NY
National Provider Identifier
1548047210
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
10 Ross Cir
Poughkeepsie, NY 12601-1078
Phone
(845) 454-4906
Fax
(845) 483-3268
NPI assigned
Sep 14, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

10 Ross Cir
Poughkeepsie, NY 12601-1078

Mailing address

198 Cream St
Poughkeepsie, NY 12601-6316
Phone (860) 670-9183

Other names 1

  • Stacyann Hahn Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1694649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1548047210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 CREAM ST",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126016316",
            "telephone_number": "860-670-9183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 ROSS CIR",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126011078",
            "telephone_number": "845-454-4906",
            "fax_number": "845-483-3268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAISE",
        "first_name": "STACYANN",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-14",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACYANN",
            "last_name": "HAHN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Poughkeepsie, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; 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.