Stacy Ann Goldstein, OTR/L, CHT, CLT

Primary specialty

Hand Occupational TherapistTaxonomy code 225XH1200X

License

04600 Issued in MD

Practice address

12 Medstar Blvd Ste 325
Bel Air, MD 21015-1817

Phone

(410) 877-8078

Fax

(410) 877-8079

NPI assigned

Aug 14, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Stacy Ann Schmidl Former name

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.

• York TMS Clinic, LLC

  • Adult Mental Health Clinic/Center
  • York, PA
  • NPI 1972374973
  NPD (past)

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

{
    "created_epoch": "1218672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1942456546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 HOLY CROSS RD",
            "city": "STREET",
            "state": "MD",
            "postal_code": "211541119",
            "telephone_number": "443-223-9902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 MEDSTAR BLVD STE 325",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210151817",
            "telephone_number": "410-877-8078",
            "fax_number": "410-877-8079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "STACY",
        "middle_name": "ANN",
        "credential": "OTR/L, CHT, CLT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-14",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC013868",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "MD",
            "license": "04600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACY",
            "last_name": "SCHMIDL",
            "middle_name": "ANN",
            "credential": "OTR/L, CHT, CLT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Go Wellness LLC
• Leslie Ann Godsey, M.S.
• Stephen Godwin, D.M.D., D.M.SC.
• Gracie Rae Goetz
• Gold Medal Physical Therapy LLC
• Sharon Ann Goldstraw, MA RD LDN
• Jessica N Gomel, LCPC
• Gomez Yim & Rastogi, M.D., P.a.
• Charles Monroe Gongloff, DMD
• Pablo Luis Gonzalez Lavagnini, MD

• Hand Occupational Therapist in Bel Air, MD
• Providers in Bel Air, MD by specialty
• Hand Occupational Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; 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.