STACY N BENNETT CRPA
NPI 1336837202
Peer Specialist in Bronx, NY

Active since April 27, 2023
304 E 165TH ST APT 4, BRONX, NY 10456(718) 790-5889 Get Directions Write a Review

NPPES record last updated: April 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stacy N Bennett Crpa NPPES

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

STACY N BENNETT CRPA (NPI 1336837202) is an individual peer specialist in Bronx, New York, licensed in New York (5652) and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1336837202
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameSTACY N BENNETTCredential: CRPA
Location Address304 E 165TH ST APT 4Bronx, NY 10456-6073
Mailing Address304 E 165th St Apt 4Bronx, NY 10456-6073 · (718) 790-5889
Sole ProprietorNo
Enumeration DateApril 27, 2023
NPPES CertifiedFebruary 12, 2023
NPI 1336837202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License Licensed in NY · 5652
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.
304 E 165TH ST APT 4, Bronx, NY 10456

Other Names 1

Former Name (1)Stacy N Bennett

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 Stacy Bennett's NPI number?

The NPI number for Stacy Bennett is 1336837202. It was assigned to this individual provider in the NPPES registry on April 27, 2023. The provider is also known as Stacy N Bennett.

Where is Stacy Bennett located?

Stacy Bennett practices at 304 E 165th St Apt 4, Bronx, NY 10456. The listed phone number is (718) 790-5889.

What is Stacy Bennett'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 Stacy Bennett was last updated on April 27, 2023. 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.