JODY M STACKMAN M.D., NPI 1457353666
Psychiatry & Neurology in ITHACA, NY
Last Updated on : Jul 25,2013
About JODY M STACKMAN (NPI 1457353666)
JODY M STACKMAN is a Psychiatry & Neurology provider in ITHACA, United States. His medical specialization is Psychiatry & Neurology with a focus in Neurology.
1457353666 is NPI number of JODY M STACKMAN.
JODY M STACKMAN's primary taxonomy code based on NPI Lookup is 2084N0400X with license number 132611. This taxonomy code refers to Psychiatry & Neurology.
JODY M STACKMAN has more than 17 years of experience.
JODY M STACKMAN current practice location address is 8 BRENTWOOD DR, ITHACA, NY. JODY M STACKMAN can be reached out via phone at 607-273-6757 and via fax at 607-273-2854 .
You can also correspond with JODY M STACKMAN through mail at mailing address 8 BRENTWOOD DR, ITHACA, NY, United States. Mailing address contact number is 607-273-6757.
The enumeration date of JODY M STACKMAN is 01-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 10 years ago.1457353666 NPI Information
Basic NPI information of JODY M STACKMAN (NPI 1457353666) is provided below.
| Name | JODY M STACKMAN |
|---|---|
| National Provider Id (NPI) | 1457353666 |
| Entity Type | Individual |
| Gender | M |
| Credential | M.D. |
| Practice Address | 8 BRENTWOOD DR,
SUITE B
ITHACA, NY, United States |
| Practice Telephone | 607-273-6757 |
| Practice Fax Number | 607-273-2854 |
| Mailing Address | 8 BRENTWOOD DR ,
SUITE B
ITHACA, NY, United States |
| Mailing Telephone | 607-273-6757 |
| Mailing Fax Number | 607-273-2854 |
| Enumeration Date | 01-Jun-2005 |
| Last Updated Date | 25-Jul-2013 |
JODY M STACKMAN (NPI 1457353666) Primary Taxonomy Information
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| Y | 2084N0400X | Psychiatry & Neurology, Neurology | 132611 | NY |
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type/Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00711413 | MEDICAID (05) | NY |
JODY M STACKMAN (NPI 1457353666) Office Location
Office location of JODY M STACKMAN is provided in the Google maps below.Providers in same location
Here are a few of the other providers in the same location.
| NPI | Name | Taxonomy | Address | Enumeration date |
|---|---|---|---|---|
| 1285799163 | 24 ON PHYSICIAN NEW YORK, PC | Internal Medicine | PO BOX 403631,
ATLANTA, GA, United States |
22-Dec-2006 |
| 1023659679 | AMY ABBASOV | Counselor, Professional | 23 BESEMER LN,
ITHACA, NY, United States |
04-Oct-2019 |
| 1952392227 | PETER AMIN ABBASS | Physical Therapist | 110 HO PLAZA,
GANNETT HEALTH SERVICES ITHACA, NY, United States |
04-Nov-2005 |
| 1821505579 | NADIA ABDO | Psychologist, Counseling | 411 E LINCOLN ST APT B,
ITHACA, NY, United States |
03-Jan-2018 |
| 1396335881 | ELAINE ROSE ABDULKY | Physician Assistant | 721 HANSHAW RD,
ITHACA, NY, United States |
19-Jan-2021 |
| 1588398598 | MANSOUR FAREED ABDULKY | Pharmacist | 101 DATES DR,
ITHACA, NY, United States |
14-Jul-2022 |
| 1932254984 | EDWARD G. ABELSON | Psychologist, Clinical | 329 S GENEVA ST,
ITHACA, NY, United States |
23-Jan-2007 |
| 1053647974 | ELLEN RACHEL ABRAMS | Marriage & Family Therapist | 42 CAYUGA ST,
TRUMANSBURG, NY, United States |
28-Oct-2009 |
| 1568850162 | JUDITH ABRAMS | Acupuncturist | 215 N CAYUGA ST,
SUITE 342 ITHACA, NY, United States |
05-Jan-2015 |
| 1366418527 | SUSAN ABRAMS | Massage Therapist | CORNELL UNIVERSITY HEALTH SERVICES,
HO PLAZA ITHACA, NY, United States |
27-Feb-2006 |
| 1649601055 | NICHOLE ABSHIRE | Registered Nurse, School | 501 MITCHELL ST,
ITHACA, NY, United States |
11-Dec-2013 |
| 1366813313 | ACAHT IDENTAL PC | Dentist | 523 W CLINTON ST,
ITHACA, NY, United States |
16-Oct-2015 |
| 1518581701 | SAMEER ACHARYA | Student in an Organized Health Care Education/Training Program | 101 DATES DRIVE. INTERNAL MEDICINE RESIDENCY, CAYUGA,
ITHACA, NY, United States |
03-Jun-2020 |
| 1609903004 | ADAM LAW, MD, PC | Family Medicine | 404 N CAYUGA ST,
ITHACA, NY, United States |
27-Feb-2007 |
| 1720088073 | KYLE R ADAMS | Physical Therapist | 310 TAUGHANNOCK BLVD,
SUITE 1C ITHACA, NY, United States |
28-Jul-2005 |
| 1407133218 | ADDISON'S APOTHECARY INC. | Pharmacy, Community/Retail Pharmacy | 131 EAST GREEN STREET,
SUITE 2 ITHACA, NY, United States |
08-Nov-2011 |
| 1265073332 | KATHARINE ADEROUNMU | Occupational Therapist | 21 CHESTNUT ST,
CORTLAND, NY, United States |
30-Sep-2019 |
| 1407025182 | ADVANCE FOOT WORKS LLC | Podiatrist | 408 E UPLAND RD,
ITHACA, NY, United States |
26-Feb-2008 |
| 1932864956 | SHANNON ESME AETHER | Registered Nurse | 201 E GREEN ST,
ITHACA, NY, United States |
04-Nov-2021 |
| 1629397641 | DANIEL DOMINICK AGNESE | Physical Therapist | 310 TAUGHANNOCK BLVD STE 1C,
ITHACA, NY, United States |
01-Jun-2010 |
How to check whether NPI 1063496693 is valid?
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FAQs
Whose NPI Number is 1457353666?1457353666 is the NPI number of JODY M STACKMAN.
What is the specialty for JODY M STACKMAN?The Specialty of JODY M STACKMAN is Psychiatry & Neurology.
NPI number meaning
| Field Name | Field Value |
|---|---|
| NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
| Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
|
| Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
| Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
| Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
| Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
| Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
| Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
| Last Update Date | The date that a record was last updated or changed. |
| Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
| Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
| Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
| Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
| Provider License Number State Code | Provider License Number State Code #1 |
| Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
|