Stillwater Center for Family Therapy

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY0436 Issued in NV

Legal business name

STILLWATER CENTER FOR FAMILY THERAPY

Practice address

158 S Taylor St
Fallon, NV 89406-3261

Phone

(775) 867-4123

Fax

(775) 867-4914

NPI assigned

Jun 27, 2008

Last updated

Jun 27, 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

Carol JuulNPI 1750432233

Title

Licxensed Clinical Social Worker

Phone

(775) 867-4123

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carol Juul, LCSW,ACSW

  • Clinical Social Worker
  • Fallon, NV
  • NPI 1750432233
  NPD (past) Authorized official
• Rick L Cox, PSY.D.

  • Clinical Psychologist
  • Fallon, NV
  • NPI 1861581308
  NPD (past)

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

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1760644041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370",
            "city": "FALLON",
            "state": "NV",
            "postal_code": "894070370",
            "telephone_number": "775-867-4123",
            "fax_number": "775-867-4914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 S TAYLOR ST",
            "city": "FALLON",
            "state": "NV",
            "postal_code": "894063261",
            "telephone_number": "775-867-4123",
            "fax_number": "775-867-4914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STILLWATER CENTER FOR FAMILY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-27",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "JUUL",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "LICXENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "775-867-4123"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NV",
            "license": "PY0436",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "2940-C",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• State of Nevada (Fallon Mental Health Center)
• Stepping Stones Youth Facility
• Leslie Steve, M.A
• Steven E. Louie LLC (Core Physical Therapy)
• Raylene Dee Stiehl, RN
• Stillwater Tribal Senior Center
• Kathy Reese Stinson, MD, PHD
• Rebecca Story, LPN
• Todd Streck
• Ann Stuart-Lougheed, M.S., CCC-SLP

• Psychologist in Fallon, NV
• Providers in Fallon, NV by specialty
• Psychologist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.