Individual provider Active NPI

Stefanie J Coppes, PH.D.

  • Psychologist
  • Clearwater, FL
National Provider Identifier
1093065807
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY 8604 Issued in FL
Practice address
3000 Gulf to Bay Blvd Ste 300
Clearwater, FL 33759-4304
Phone
(800) 687-1938
Fax
(727) 495-7233
NPI assigned
Sep 19, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

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

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PY 8604 FL
Cognitive & Behavioral Psychologist 103TB0200X PY 8604 FL
Clinical Psychologist 103TC0700X PY 8604 FL
Counseling Psychologist 103TC1900X PY 8604 FL
Clinical Child & Adolescent Psychologist 103TC2200X PY 8604 FL
Exercise & Sports Psychologist 103TE1100X PY 8604 FL
Family Psychologist 103TF0000X PY 8604 FL
Intellectual & Developmental Disabilities Psychologist 103TM1800X PY 8604 FL
School Psychologist 103TS0200X PY 8604 FL
Psychologist 103T00000X PY 8604 FL Primary

Addresses

Primary practice location

3000 Gulf to Bay Blvd Ste 300
Clearwater, FL 33759-4304

Mailing address

PO Box 8
Terra Ceia, FL 34250-0008

Other practice location 1

2415 University Pkwy Ste 219
Sarasota, FL 34243-2809
Phone (800) 687-1938

Other names 1

  • Dr. Stefanie J Mihalopoulos Former name

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
I20130605000423 FL Practitioner - Clinical Psychologist 2365680261 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Neuropsychology, LLC Clinical Neuropsychologist CurrentSince Sep 5, 2016 Accepting new patients

Locations

1700 N McMullen Booth Rd
Ste C1
Clearwater, FL 33759
Phone (727) 228-2388

3000 Gulf To Bay Blvd
Ste 300
Clearwater, FL 33759
Phone (727) 222-5821

2415 University Pkwy
Ste 219
Sarasota, FL 34243
Phone (800) 687-1938

2415 University Pkwy
Ste 2
Sarasota, FL 34243
Phone (800) 687-1938

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": "1348012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1093065807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8",
            "city": "TERRA CEIA",
            "state": "FL",
            "postal_code": "342500008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 GULF TO BAY BLVD STE 300",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337594304",
            "telephone_number": "800-687-1938",
            "fax_number": "727-495-7233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2415 University Pkwy Ste 219",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342432809",
            "country_code": "US",
            "telephone_number": "800-687-1938",
            "fax_number": "727-495-7233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COPPES",
        "first_name": "STEFANIE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-19",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY 8604",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "FL",
            "license": "PY 8604",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY 8604",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "FL",
            "license": "PY 8604",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "FL",
            "license": "PY 8604",
            "primary": false
        },
        {
            "code": "103TE1100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Exercise & Sports",
            "state": "FL",
            "license": "PY 8604",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "FL",
            "license": "PY 8604",
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "FL",
            "license": "PY 8604",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "FL",
            "license": "PY 8604",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY 8604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEFANIE",
            "last_name": "MIHALOPOULOS",
            "middle_name": "J",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.