Stephen W. Koncsol P.a.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY0002754 Issued in FL

Legal business name

STEPHEN W. KONCSOL P.A.

Practice address

1011 Ives Dairy Rd
Suite 208 BLDG. 2
North Miami Beach, FL 33179-2536

Phone

(305) 653-0098

Fax

(305) 654-4412

NPI assigned

Feb 22, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Stephen W. Koncsol, PHDNPI 1780694349

Title

President

Phone

(305) 653-0098

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Networks

• HealthSun Health Plans Network

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephen Wayne Koncsol, PH.D.

  • Psychologist
  • Hallandale Beach, FL
  • NPI 1780694349
  Medicare reassignment Authorized official
• Wilhelmina Siny Koedam, PH.D.

  • Clinical Psychologist
  • Hallandale Beach, FL
  • NPI 1023110863
  NPD (past)

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

{
    "created_epoch": "1298332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310342400000",
    "number": "1174820534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 IVES DAIRY RD",
            "address_2": "SUITE 208 BLDG. 2",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331792536",
            "telephone_number": "305-653-0098",
            "fax_number": "305-654-4412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 IVES DAIRY RD",
            "address_2": "SUITE 208 BLDG. 2",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331792536",
            "telephone_number": "305-653-0098",
            "fax_number": "305-654-4412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN W. KONCSOL P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-22",
        "last_updated": "2011-07-11",
        "status": "A",
        "authorized_official_last_name": "KONCSOL",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-653-0098",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY0002754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryan Christopher Stapp, D.M.D.
• Starhealthcare
• Starling Oncology FL, LLC
• Stellato-Perez Health Care LLC
• Stephen a Kotzen MD PA
• Sterling Emergency Physicians of Parkway, PA
• Steve M Friedman DC LLC
• Francine Stolear, OT
• Yaffa Strassfeld, OTR/L
• Strax Institute Inc

• Clinical Psychologist in North Miami Beach, FL
• Providers in North Miami Beach, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.