Active NPIIndividual providerSole proprietor

Dr. Stacie Shivers, PSYD

Psychologist in Westfield, New Jersey

NPI Number1720523822
Practice location
111 Quimby St Ste 6, Westfield, NJ 07090-5106
Fax
—
Last updated
February 16, 2024

Stacie Shivers is a Psychologist based in Westfield, NJ. Stacie Shivers practices in Westfield, NJ and has the professional credentials of PSYD. The NPI Number for Stacie Shivers is 1720523822 and holds a License No. 153-065 (NJ). The current practice location address for Stacie Shivers is 111 Quimby St Ste 6, Westfield, NJ 07090-5106 and can be reached out via phone at 973-630-8702.

Provider Profile Details

NPI Number
1720523822
Provider Name
Stacie Shivers
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
111 Quimby St Ste 6, Westfield, NJ 07090-5106
Phone Number
973-630-8702
Primary Taxonomy
Psychologist · 103T00000X
Sole Proprietor
Yes
Provider Enumeration Date
December 27, 2016
Last Update Date
February 16, 2024
Certification Date
February 16, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
111 Quimby St Ste 6
Westfield, NJ 07090-5106
Zip
07090-5106
Phone Number
973-630-8702
Westfield, NJ 07090Get directions →

Provider Business Mailing Address Details

Address
111 Quimby St Ste 6
Westfield, NJ 07090-5106
City
Westfield
State
NJ
Zip
07090-5106
Phone Number
973-630-8702

License Information

License Number (1)
153-065
License State (1)
NJ
Taxonomy (1)
Psychologist, Clinical · 103TC0700X
License Number (2)
35SI00583600
License State (2)
NJ
Taxonomy (2)
Psychologist · 103T00000X · 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 Dr. Stacie Shivers, PSYD?

The NPI number of Dr. Stacie Shivers, PSYD is 1720523822. It was assigned on December 27, 2016 and is currently active in the NPPES registry.

What is the specialty of Dr. Stacie Shivers, PSYD?

Dr. Stacie Shivers, PSYD is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in NJ under license number 153-065.

Where does Dr. Stacie Shivers, PSYD practice?

The practice location is 111 Quimby St Ste 6, Westfield, NJ 07090-5106. The office can be reached at 973-630-8702 (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 1720523822 directly on the NPPES registry website.

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