Individual provider Active NPI

Stephen Anthony Ragusea, PSY.D.

  • Clinical Psychologist
  • Key West, FL
National Provider Identifier
1043300361
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY6469 Issued in FL
Practice address
1901 Fogarty Ave
Suite #5
Key West, FL 33040-3614
Phone
(305) 294-2500
NPI assigned
Oct 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY6469 FL Primary
Clinical Psychologist 103TC0700X PS004089L PA

Addresses

Primary practice location

1901 Fogarty Ave
Suite #5
Key West, FL 33040-3614

Mailing address

1901 Fogarty Ave
Suite #5
Key West, FL 33040-3614
Phone (305) 294-2500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20040116000569 PA Practitioner - Clinical Psychologist 6002717626 Practice locations: Lewisburg, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

129 Market St
Lewisburg, PA 17837-1541
Phone (305) 240-1805

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1160870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043300361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 FOGARTY AVE",
            "address_2": "SUITE #5",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330403614",
            "telephone_number": "305-294-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 FOGARTY AVE",
            "address_2": "SUITE #5",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330403614",
            "telephone_number": "305-294-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGUSEA",
        "first_name": "STEPHEN",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY6469",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS004089L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Key West, FL

Sources for this page

Verify at the official NPI Registry.