Active NPI
Andreas Patrick Stocker, PSY.D.
- Clinical Psychologist
- Flagler Beach, FL
National Provider Identifier
1124671201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY13195
- Practice address
- 2221 S Flagler Ave
Flagler Beach, FL 32136-4000 - Phone
- (386) 569-0893
- NPI assigned
- Jul 18, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY13195 | FL | Primary |
Addresses
Primary practice location
2221 S Flagler Ave
Flagler Beach, FL 32136-4000
Mailing address
PO Box 2228
Flagler Beach, FL 32136-2228
Phone (386) 569-0893
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY13195 | FL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778112000000",
"number": "1124671201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2228",
"city": "FLAGLER BEACH",
"state": "FL",
"postal_code": "321362228",
"telephone_number": "386-569-0893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2221 S FLAGLER AVE",
"city": "FLAGLER BEACH",
"state": "FL",
"postal_code": "321364000",
"telephone_number": "386-569-0893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOCKER",
"first_name": "ANDREAS",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-18",
"last_updated": "2026-05-07",
"certification_date": "2026-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY13195",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flagler Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.