Individual provider Active NPI

Steven Fei Wu, PH.D.

  • Clinical Psychologist
  • Brandon, FL
National Provider Identifier
1003934910
Registry record updated Nov 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY0004543 Issued in FL
Practice address
310 Hughes St
Brandon, FL 33510-4412
Phone
(813) 655-7057
Fax
(813) 655-7057
NPI assigned
Mar 27, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY0004543 FL Primary

Addresses

Primary practice location

310 Hughes St
Brandon, FL 33510-4412

Mailing address

PO Box 189
Valrico, FL 33595-0189
Phone (813) 655-7057

Other identifiers 1

IdentifierTypeStateIssuer
73777OtherFLBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131114000478 FL Practitioner - Clinical Psychologist 3476535089 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

310 Hughes St
Brandon, FL 33510-4403
Phone (813) 655-7057

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY0004543FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Applied Psychological Solutions LLC Clinical CurrentSince Sep 21, 2013 Accepting new patients

Locations

310 Hughes St
Brandon, FL 33510
Phone (813) 655-7057

3350 Ulmerton Rd
Ste 24
Clearwater, FL 33762
Phone (727) 573-1844

39 Davis Blvd
Ste B
Tampa, FL 33606
Phone (813) 251-0027

Networks

  • Freedom Health HMO Network

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385424000000",
    "number": "1003934910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 189",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335950189",
            "telephone_number": "813-655-7057",
            "fax_number": "813-655-7057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 HUGHES ST",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335104412",
            "telephone_number": "813-655-7057",
            "fax_number": "813-655-7057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "STEVEN",
        "middle_name": "FEI",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2013-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY0004543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "73777",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.