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General NPI Number Information
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NPI Number | 1053263269
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Entity Type | Organization
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Legal Business Name | STAY GOLDEN PSYCHIATRY, P.C.
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Dates
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Enumeration Date | 02/11/2026
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Last Update Date | 02/13/2026
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Provider Practice Location Address
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Address Line | 1357 CUMBERLAND CIR E
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City | ELK GROVE VILLAGE
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State | IL
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Zip | 60007-3803
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Country | US
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Telephone | 847-217-9106
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Fax |
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Provider Business Mailing Address
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Address Line | 2501 N HAYDEN RD STE 103
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City | SCOTTSDALE
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State | AZ
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Zip | 85257-2326
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JOSEPH WILLIAM HALLORAN
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Credential | APRN, PMHNP-BC
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Telephone | 847-217-9106
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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