Active NPIIndividual provider

Stacy E Cruess, PHD

Psychologist, Clinical in Uncasville, Connecticut

NPI Number1063511681
Practice location
80 Norwich New London Tpke, Uncasville, CT 06382-2527
Fax
—
Last updated
May 22, 2026

Stacy Ellen Cruess is a Psychologist, Clinical based in Uncasville, CT. Stacy Ellen Cruess practices in Uncasville, CT and has the professional credentials of PHD. The NPI Number for Stacy Ellen Cruess is 1063511681 and holds a License No. 002704 (CT). The current practice location address for Stacy Ellen Cruess is 80 Norwich New London Tpke, Uncasville, CT 06382-2527 and can be reached out via phone at 860-425-8740.

Provider Profile Details

NPI Number
1063511681
Provider Name
Stacy Ellen Cruess
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
80 Norwich New London Tpke, Uncasville, CT 06382-2527
Phone Number
860-425-8740
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
No
Other Names
-- Stacy Ellen Wagner (Former Name)
Provider Enumeration Date
September 21, 2006
Last Update Date
May 22, 2026
Certification Date
May 22, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
80 Norwich New London Tpke
Uncasville, CT 06382-2527
Zip
06382-2527
Phone Number
860-425-8740
Uncasville, CT 06382Get directions →

Provider Business Mailing Address Details

Address
140 N Frontage RD
Mansfield Center, CT 06250-1648
City
Mansfield Center
State
CT
Zip
06250-1648
Phone Number
860-456-2261
Fax Number
860-450-1357

License Information

License Number
002704
License State
CT
Taxonomy
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Stacy E Cruess, PHD?

The NPI number of Stacy E Cruess, PHD is 1063511681. It was assigned on September 21, 2006 and is currently active in the NPPES registry.

What is the specialty of Stacy E Cruess, PHD?

Stacy E Cruess, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in CT under license number 002704.

Where does Stacy E Cruess, PHD practice?

The practice location is 80 Norwich New London Tpke, Uncasville, CT 06382-2527. The office can be reached at 860-425-8740 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063511681 directly on the NPPES registry website.

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