Stacey Michelle De Young

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

3068 Issued in SC

Practice address

207 Huddersfield Dr
Simpsonville, SC 29681-3703

Phone

(864) 987-0365

Fax

(678) 840-2112

NPI assigned

Jul 8, 2006

Sex

Female

Sole proprietor

No

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)

Enrolled

State licenses

Practice roles

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.

• Cortina Consultants, Inc.

  • Speech-Language Pathologist
  • Mauldin, SC
  • NPI 1578628012

  Occupational Therapist

  NPD (past)
• Magnolia Medical Group Inc

  • Physical Therapist
  • Greenville, SC
  • NPI 1386629558

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912930462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 369",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296810369",
            "telephone_number": "864-201-4301",
            "fax_number": "678-840-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 HUDDERSFIELD DR",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296813703",
            "telephone_number": "864-987-0365",
            "fax_number": "678-840-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE YOUNG",
        "first_name": "STACEY",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "3068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Michelle Davis, MCD-SLP-CCC
• Zion Nazariah Davis
• Andre Dawkins
• Zachary Kevin Dawkins, LISW-CP
• Crystal Dawson
• Kathleen Decker
• Joseph Anthony Decosmo, MD
• Deeper Roots Therapy
• Amber Marie Degarmo
• Deirdra Inc

• Occupational Therapist in Simpsonville, SC
• Providers in Simpsonville, SC by specialty
• Occupational Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.