Emily Kathryn Stagg, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

4704 Issued in CT

Practice address

71 Haynes St
Manchester, CT 06040-4131

Phone

(860) 533-3494

NPI assigned

Aug 3, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Yale University School of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clifford W Beers Guidance Clinic IncGroup PAC ID 1951771054, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Clifford W. Beers Guidance Clinic Inc

  • Adolescent and Children Mental Health Clinic/Center
  • New Haven, CT
  • NPI 1073526968
  Medicare reassignment Care Compare group NPD
• Town of North Haven Community Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • North Haven, CT
  • NPI 1164513388
  Medicare reassignment NPD
• Prospect Rockville Hospital, Inc.

  • General Acute Care Hospital
  • Vernon, CT
  • NPI 1205283538
  Medicare reassignment
• Town of North Haven

  • Land Ambulance
  • North Haven, CT
  • NPI 1154836450
  NPD
• Eastern Connecticut Medical Professionals Foundation, Inc

  • Specialist
  • South Windsor, CT
  • NPI 1497864516
  NPD (past)

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

{
    "created_epoch": "1312329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1770861007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 LANCASTER RD",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060331123",
            "telephone_number": "203-314-9339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 HAYNES ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060404131",
            "telephone_number": "860-533-3494"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Linsley St",
            "address_purpose": "LOCATION",
            "city": "North Haven",
            "state": "CT",
            "postal_code": "064732505",
            "country_code": "US",
            "telephone_number": "203-239-5321 x503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAGG",
        "first_name": "EMILY",
        "middle_name": "KATHRYN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-03",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "03277675",
            "primary": false
        },
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "CT",
            "license": "092976",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "4704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008037446",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Genevieve St. Martin
• Amy M St. Pierre, LADC, LPC
• Catherine Navarra St.Charles, RD
• Carol A. Stabile, M.D.
• Iwona Stachelek, PA-C
• Thomas E Staley, MD
• John Robert Stanko, DMD
• Stanley Pearlson DMD, PC
• Grier Stanley, LCSW
• Judith Stanwicks

• Psychiatric/Mental Health Nurse Practitioner in Manchester, CT
• Providers in Manchester, CT by specialty
• Psychiatric/Mental Health Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.