Stanley J Palumbo

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1964 Issued in OH

Legal business name

STANLEY J PALUMBO

Practice address

1350 5TH Ave
Suite 112
Youngstown, OH 44504-1728

Phone

(330) 744-1027

Fax

(330) 744-1029

NPI assigned

Dec 29, 2011

Organization subpart

No

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

Authorized official

Name

Stanley J Palumbo, PHDNPI 1467448944

Title

Owner

Phone

(330) 744-1027

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Stanley J Palumbo2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Stanley J. Palumbo, PHD

  • Psychologist
  • Youngstown, OH
  • NPI 1174815831
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stanley Palumbo, PHD

  • Clinical Psychologist
  • Youngstown, OH
  • NPI 1467448944
  NPD (past) Authorized official

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

{
    "created_epoch": "1325116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333584000000",
    "number": "1629347141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 5TH AVE",
            "address_2": "SUITE 112",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041728",
            "telephone_number": "330-744-1027",
            "fax_number": "330-744-1029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 5TH AVE",
            "address_2": "SUITE 112",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041728",
            "telephone_number": "330-744-1027",
            "fax_number": "330-744-1029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANLEY J PALUMBO",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-29",
        "last_updated": "2012-04-05",
        "status": "A",
        "authorized_official_last_name": "PALUMBO",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-744-1027",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "OH",
            "license": "1964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0353175",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shaquala Stanford
• Taylor M Stanford
• Tierra N Stanford
• Michael P Stanich, DO
• Lillianne Stanitsas, M.D.
• Stanley J. Palumbo, PHD
• Kathryn Stanley, RN
• Kendra Stanley
• Elizabeth Christine Stanovcak
• Tarayza Marie Staples

• Psychologist in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.