Stacy Ann Raymond, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1974 Issued in CT

Practice address

100B Danbury Rd, Suite 101
Ridgefield, CT 06877-4110

Phone

(203) 493-0344

Fax

(203) 438-6223

NPI assigned

Nov 6, 2006

Last updated

Mar 28, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553731200000",
    "number": "1841379112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100B DANBURY RD, SUITE 101",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068774110",
            "telephone_number": "203-493-0344",
            "fax_number": "203-438-6223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100B DANBURY RD, SUITE 101",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068774110",
            "telephone_number": "203-493-0344",
            "fax_number": "203-438-6223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYMOND",
        "first_name": "STACY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2019-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "1974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan W Rajbanshi, LCSW
• Randall G Baldwin DMD PC
• Robin Lynn Raposa, PT
• Randall P. Raymond, PH.D., L.P.C.
• Ronald John Raymond, MD
• Judith Ann Reedy, MS NUTRITION
• Rehab by Rvna, LLC
• Heather Reich, OTR/L
• Laura Reigada, PH.D.
• Renato N Mascardo MD PC

• Clinical Psychologist in Ridgefield, CT
• Providers in Ridgefield, CT by specialty
• Clinical Psychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2019; 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.