Stony Creek Urgent Care Center, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

STONY CREEK URGENT CARE CENTER, LLC

Practice address

6 Business Park Dr
Suite 302
Branford, CT 06405-2988

Phone

(203) 483-4580

Fax

(203) 483-4581

NPI assigned

Jul 15, 2008

Organization subpart

Yes

Parent organization

STONY CREEK VENTURES, LLCAs reported in NPPES

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

Authorized official

Name

Dr. David J Young, MD

Title

Managing Member

Phone

(203) 483-4580

Specialties & licenses 6

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1216080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424736000000",
    "number": "1992969364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 BUSINESS PARK DR",
            "address_2": "SUITE 302",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064052988",
            "telephone_number": "203-483-4580",
            "fax_number": "203-483-4581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 BUSINESS PARK DR",
            "address_2": "SUITE 302",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064052988",
            "telephone_number": "203-483-4580",
            "fax_number": "203-483-4581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONY CREEK URGENT CARE CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STONY CREEK VENTURES, LLC",
        "enumeration_date": "2008-07-15",
        "last_updated": "2015-02-24",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "203-483-4580",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "D100000134",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEMBCBS",
            "identifier": "68WLKN042CT02",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandra Stenstrom, CNM
• Seth Aaron Stevens, PH.D
• Still Water Wellness and Therapy LLC
• Jamelah Theresa Stone, LCSW
• Janine Stoner
• Christina Maria Stratidis-Macrini, LMSW
• Stephanie Storme Streicker, LCSW
• Debra Lynn Struzinski, LMFT
• Aubrey Erin Stuhlman, BA, MS
• Pamela Michele Sugg, MSW LCSW

• General Practice Physician in Branford, CT
• Providers in Branford, CT by specialty
• General Practice Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2015; 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.