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STACY GREETER, MD, PLLC
NPI 1700311818
Clinic/Center - Adolescent and Children Mental Health in Bradenton, FL

Active since April 26, 2017
9030 58TH DR E, SUITE 101A, ROOM A, BRADENTON, FL 34202(941) 413-0834(941) 761-5547 Get Directions Write a Review

NPPES record last updated: April 26, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stacy Greeter, Md, Pllc NPPES

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

STACY GREETER, MD, PLLC (NPI 1700311818) is a healthcare organization registered as an adolescent and children mental health in Bradenton, Florida and active in the NPI registry since April 2017. The organization lists Stacy Lynn Greeter, Physician, as its authorized official.

NPPES Registry Identity

NPI1700311818
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameSTACY GREETER, MD, PLLC
Location Address9030 58TH DR E, SUITE 101A, ROOM ABradenton, FL 34202-6108
Mailing Address9030 58th Dr E, Suite 101a, Room ABradenton, FL 34202-6108 · (941) 413-0834 · Fax (941) 761-5547
Phone(941) 413-0834
Fax(941) 761-5547
Organization SubpartNo
Authorized OfficialStacy Lynn GreeterPhysician · (904) 228-0777
Enumeration DateApril 26, 2017
✔ NPI 1700311818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
License✔ Licensed in FL · ME 128423
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
9030 58TH DR E, Bradenton, FL 34202
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Other Identifiers 1

Other1215257845FL · Individual Npi

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 Greeter, MD, PLLC's NPI number?

The NPI number for Stacy Greeter, MD, PLLC is 1700311818. It was assigned to this organization in the NPPES registry on April 26, 2017.

Where is Stacy Greeter, MD, PLLC located?

Stacy Greeter, MD, PLLC is located at 9030 58th Dr E Suite 101A, Room A, Bradenton, FL 34202. The listed phone number is (941) 413-0834.

What is Stacy Greeter, MD, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

When was this NPI record last updated?

The NPPES record for Stacy Greeter, MD, PLLC was last updated on April 26, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.