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MISS STACEY R DEWAN
NPI 1629940036
Counselor - Mental Health in Port Jefferson, NY

Active since September 23, 2025
1000 MAIN ST, PORT JEFFERSON, NY 11777(631) 296-1113 Get Directions Write a Review

NPPES record last updated: September 23, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Miss Stacey R Dewan NPPES

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

MISS STACEY R DEWAN (NPI 1629940036) is an individual mental health provider in Port Jefferson, New York and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1629940036
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMISS STACEY R DEWAN
Location Address1000 MAIN STPort Jefferson, NY 11777-2250
Mailing Address1000 Main StPort Jefferson, NY 11777-2250 · (631) 296-1113
Phone(631) 296-1113
Sole ProprietorNo
Enumeration DateSeptember 23, 2025
NPPES CertifiedSeptember 23, 2025
✔ NPI 1629940036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1000 MAIN ST, Port Jefferson, NY 11777
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Other Providers at the Same Location NPPES 20

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

DR. FREDRIC M LEVINE PH.D.
Psychologist (Clinical)
1000 MAIN ST
PORT JEFFERSON, NY 11777
Suffolk County (631) 473-6622
PEOPLE TALK, INC
Social Worker (Clinical)
1000 MAIN ST, SUITE D
PORT JEFFERSON, NY 11777
Suffolk County (631) 921-9138
MR. DAVID BRUCE MORGAN LCSW
Social Worker (Clinical)
1000 MAIN ST
PORT JEFFERSON, NY 11777
Suffolk County (631) 839-1682
KELLY CONRAD SANCHEZ LMFT
Marriage & Family Therapist
1000 MAIN ST
PORT JEFFERSON, NY 11777
Suffolk County (631) 296-1113
AVNEET KAUR
Marriage & Family Therapist
1000 MAIN ST
PORT JEFFERSON, NY 11777
Suffolk County (631) 296-1113
MS. DEBORAH M. DEROSA LCSW
Social Worker (Clinical)
1000 MAIN ST
PORT JEFFERSON, NY 11777
Suffolk County (631) 589-2389
BLAIR CRISTIN FORTE
Marriage & Family Therapist
1000 MAIN ST, FIRST FLOOR, SOUTH SUITE
PORT JEFFERSON, NY 11777
Suffolk County (631) 296-1113
MICHELLE STEWART LCSW
Social Worker (Clinical)
1000 MAIN ST
PORT JEFFERSON, NY 11777
Suffolk County (631) 631-2961

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 Stacey Dewan's NPI number?

The NPI number for Stacey Dewan is 1629940036. It was assigned to this individual provider in the NPPES registry on September 23, 2025.

Where is Stacey Dewan located?

Stacey Dewan practices at 1000 Main St, Port Jefferson, NY 11777. The listed phone number is (631) 296-1113.

What is Stacey Dewan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Stacey Dewan was last updated on September 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.