Traci R. Stein, PHD, MPH

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

018874 Issued in NY

Practice address

2 Trefoil Pass
West Orange, NJ 07052-4972

Phone

(201) 978-3178

NPI assigned

Jul 10, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1247184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1033348164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 TREFOIL PASS",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070524972",
            "telephone_number": "201-978-3178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 TREFOIL PASS",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070524972",
            "telephone_number": "201-978-3178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEIN",
        "first_name": "TRACI",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "PHD, MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-10",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "018874",
            "primary": false
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "NY",
            "license": "018874",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "018874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1437453149",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.DrTraciStein.com",
            "affiliation": "N",
            "endpointDescription": "professional website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Informational",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Professional Website",
            "address_1": "2 Trefoil Pass",
            "city": "West Orange",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070524972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Eugene Michael Stefanelli, EDS,PHD
• Leonard Stefanelli
• Andrew B Stefaniwsky, M.D.
• Allan Jeremy Stein, DMD
• Ivan Fredric Stein, DDS
• Stephanie Badalamenti MD PHD
• Rosetta Stephens, LCSW
• Steven Hertz, MD,LLC
• STF Enterprise LLC
• Gabriella G Stiefbold, OT

• Clinical Psychologist in West Orange, NJ
• Providers in West Orange, NJ by specialty
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.