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JUD STALLER M.D.
NPI 1245274398
Psychiatry & Neurology - Child & Adolescent Psychiatry in Fayetteville, NY

Active since June 16, 2006
7030 E GENESEE ST, FAYETTEVILLE, NY 13066(315) 446-1736 Get Directions Write a Review

NPPES record last updated: October 14, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jud Staller M.d. NPPES

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

JUD STALLER M.D. (NPI 1245274398) is an individual child & adolescent psychiatry provider in Fayetteville, New York, licensed in New York (134820) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1245274398
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameJUD STALLERCredential: M.D.
Location Address7030 E GENESEE STFayetteville, NY 13066-1121
Mailing Address7030 E Genesee StFayetteville, NY 13066-1121 · (315) 446-1736
Phone(315) 446-1736
Sole ProprietorYes
Enumeration DateJune 16, 2006
Last NPPES UpdateOctober 14, 2010
✔ NPI 1245274398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in NY · 134820
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 134820 (NY)
7030 E GENESEE ST, Fayetteville, NY 13066
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Other Providers at the Same Location NPPES 9

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

MRS. TRACY A LUNNEY LCSW-R
Counselor (Mental Health)
7030 E GENESEE ST
FAYETTEVILLE, NY 13066
Onondaga County (315) 449-0562
CONSULTATION SERVICES OF CENTRAL NEW YORK - MEDICINE PROVIDER, PLLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
7030 E GENESEE ST, SUITE 109
FAYETTEVILLE, NY 13066
Onondaga County (315) 560-6919
DR. MARY ELIZABETH JEANNOTTE PHD
Psychologist
7030 E GENESEE ST
FAYETTEVILLE, NY 13066
Onondaga County (315) 682-0871
DR. NIAMH DOYLE PH.D.
Psychologist (Clinical)
7030 E GENESEE ST
FAYETTEVILLE, NY 13066
Onondaga County (315) 400-3116
JILL WELDUM LMFT
Marriage & Family Therapist
7030 E GENESEE ST
FAYETTEVILLE, NY 13066
Onondaga County (315) 492-1390
MS. LYNN CAROL KOSS M.S. CCC-SLP
Speech-Language Pathologist
7030 E GENESEE ST, THE WHITE HOUSE PROFESSIONAL OFFICES
FAYETTEVILLE, NY 13066
Onondaga County (315) 446-4202
DR. MARIA DITULLIO ED.D
Counselor (Mental Health)
7030 E GENESEE ST
FAYETTEVILLE, NY 13066
Onondaga County (315) 401-1747
DR. MATTHEW HENRY ROSA MD
Psychiatry & Neurology (Psychiatry)
7030 E GENESEE ST, SUITE 109
FAYETTEVILLE, NY 13066
Onondaga County (315) 510-6760

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 Jud Staller's NPI number?

The NPI number for Jud Staller is 1245274398. It was assigned to this individual provider in the NPPES registry on June 16, 2006.

Where is Jud Staller located?

Jud Staller practices at 7030 E Genesee St, Fayetteville, NY 13066. The listed phone number is (315) 446-1736.

What is Jud Staller's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

When was this NPI record last updated?

The NPPES record for Jud Staller was last updated on October 14, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.