Individual provider Active NPI

Steven Eric Handwerker, PHD

  • Psychologist
  • Boca Raton, FL
National Provider Identifier
1063733533
Registry record updated Jun 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
7980-1 Issued in NY
Practice address
2385 N.W. Corporate Blvd
Suite 100
Boca Raton, FL 33431-8510
Phone
(561) 447-6700
Fax
(561) 417-2494
NPI assigned
Jun 18, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY5388 FL
Psychologist 103T00000X 7980-1 NY Primary
Psychologist 103T00000X 400 SD

Addresses

Primary practice location

2385 N.W. Corporate Blvd
Suite 100
Boca Raton, FL 33431-8510

Mailing address

Pob 880229
Boca Raton, FL 33488-0229
Phone (561) 447-6700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY5388FLMDPsychologist
7980-1NYMDPsychologist
400SDMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1276819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276819200000",
    "number": "1063733533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "POB 880229",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334880229",
            "telephone_number": "561-447-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2385 N.W. CORPORATE BLVD",
            "address_2": "SUITE 100",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334318510",
            "telephone_number": "561-447-6700",
            "fax_number": "561-417-2494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANDWERKER",
        "first_name": "STEVEN",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-18",
        "last_updated": "2010-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY5388",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "7980-1",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "SD",
            "license": "400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2010; 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.