NATHANIEL WILLIAM STACY CRPA-P
NPI 1083325575
Peer Specialist in Utica, NY

Active since December 06, 2022
624 ELIZABETH ST, UTICA, NY 13501(315) 580-9748 Get Directions Write a Review

NPPES record last updated: December 6, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nathaniel William Stacy Crpa-p NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NATHANIEL WILLIAM STACY CRPA-P (NPI 1083325575) is an individual peer specialist in Utica, New York and active in the NPI registry since December 2022.

NPPES Registry Identity

NPI1083325575
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameNATHANIEL WILLIAM STACYCredential: CRPA-P
Location Address624 ELIZABETH STUtica, NY 13501-2413
Mailing Address624 Elizabeth StUtica, NY 13501-2413
Sole ProprietorNo
Enumeration DateDecember 6, 2022
NPPES CertifiedDecember 6, 2022
NPI 1083325575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
624 ELIZABETH ST, Utica, NY 13501

Other Identifiers 1

OtherCRPA-P-6012Nycb

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Peer Specialist
624 ELIZABETH ST
UTICA, NY 13501
Social Worker
624 ELIZABETH ST
UTICA, NY 13501
Counselor
624 ELIZABETH ST
UTICA, NY 13501
Social Worker
624 ELIZABETH ST
UTICA, NY 13501
Peer Specialist
624 ELIZABETH ST
UTICA, NY 13501
Registered Nurse
624 ELIZABETH ST
UTICA, NY 13501
Counselor (Mental Health)
624 ELIZABETH ST
UTICA, NY 13501
Peer Specialist
624 ELIZABETH ST
UTICA, NY 13501

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nathaniel Stacy's NPI number?

The NPI number for Nathaniel Stacy is 1083325575. It was assigned to this individual provider in the NPPES registry on December 6, 2022.

Where is Nathaniel Stacy located?

Nathaniel Stacy practices at 624 Elizabeth St, Utica, NY 13501. The listed phone number is (315) 580-9748.

What is Nathaniel Stacy's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Nathaniel Stacy was last updated on December 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.