Individual provider Active NPI

Paula Nancy Stein, PHD

  • Psychologist
  • Fishkill, NY
National Provider Identifier
1093991895
Registry record updated Jan 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
010262 1 Issued in NY
Practice address
1064 Main Street
Fishkill Consultation Group
Fishkill, NY 12524
Phone
(845) 896-6751
Fax
(845) 227-2524
NPI assigned
Jan 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 010262 1 NY Primary
Clinical Psychologist 103TC0700X 010262 1 NY

Addresses

Primary practice location

1064 Main Street
Fishkill Consultation Group
Fishkill, NY 12524

Mailing address

1064 Main Street
Fishkill Consultation Group
Fishkill, NY 12524
Phone (845) 896-6751

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040513001558 NY Practitioner - Clinical Psychologist 4486644291 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
Telehealth
Offers telehealth services
Group practices
Fishkill Consultation GroupGroup PAC ID 4981855871, 2 clinicians

Practice addresses (Care Compare)

2 Summit CT
Suite 205
Fishkill, NY 12524-1385
Phone (845) 896-6751

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
010262 1NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Fishkill Consultation Group Psychologist CurrentSince Nov 1, 2012 Accepting new patients

Locations

1064 Main St
Fishkill, NY 12524
Phone (845) 896-6751

2 Summit Ct
Ste 205
Fishkill, NY 12524
Phone (845) 896-6751

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": "1200009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200009600000",
    "number": "1093991895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1064 MAIN STREET",
            "address_2": "FISHKILL CONSULTATION GROUP",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "12524",
            "telephone_number": "845-896-6751",
            "fax_number": "845-227-2524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1064 MAIN STREET",
            "address_2": "FISHKILL CONSULTATION GROUP",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "12524",
            "telephone_number": "845-896-6751",
            "fax_number": "845-227-2524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEIN",
        "first_name": "PAULA",
        "middle_name": "NANCY",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-11",
        "last_updated": "2008-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "010262 1",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "010262 1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishkill, NY

Sources for this page

Verify at the official NPI Registry.