Individual provider Active NPI

Stephanie Baynes, PSYD

  • Clinical Psychologist
  • Tarpon Springs, FL
National Provider Identifier
1184219990
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY10933 Issued in FL
Practice address
110 Athens St Ste D
Tarpon Springs, FL 34689-3304
Phone
(727) 233-5653
Fax
(844) 820-0984
NPI assigned
Mar 3, 2021
Last updated
Feb 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PY10933 FL
Clinical Psychologist 103TC0700X PY10933 FL Primary

Addresses

Primary practice location

110 Athens St Ste D
Tarpon Springs, FL 34689-3304

Mailing address

7901 4TH St N # 19623
St Petersburg, FL 33702-4305
Phone (727) 233-5653

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
I20210324001781 FL Practitioner - Clinical Psychologist 6800203571 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Personal Recovery Network LLCGroup PAC ID 5092611384, 612 clinicians

Practice addresses (Care Compare)

2400 E Commercial Blvd
Suite 101
Fort Lauderdale, FL 33308-4022
Phone (754) 243-5650

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PY10933FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Stillwaters Assessment & Neuropsychological Services Clinical Neuropsychologist CurrentSince Sep 21, 2025 Accepting new patients
Personal Recovery Network LLC CurrentSince Mar 1, 2021 Accepting new patients
Lifestance Health PastSince Jul 21, 2024 Accepting new patients

Locations

615 Oakfield Dr
Brandon, FL 33511
Phone (813) 565-3322

8570 Granite Ct
Ste 101
Fort Myers, FL 33908
Phone (239) 310-4646

2400 E Commercial Blvd
Ste 101
Ft Lauderdale, FL 33308
Phone (754) 243-5650

260 Lookout Pl
Ste 101
Maitland, FL 32751
Phone (407) 537-9450

260 Lookout Pl
Ste 202
Maitland, FL 32751
Phone (407) 537-9450

14645 NW 77th Ave
Ste 101
Miami Lakes, FL 33014
Phone (786) 785-9033

34650 US Highway 19 N
Ste 206
Palm Harbor, FL 34684
Phone (727) 493-9940

110 Athens St
Ste D
Tarpon Springs, FL 34689
Phone (727) 233-5653

1400 N US Highway 441
Ste 553
The Villages, FL 32159
Phone (352) 205-8514

9332 State Road 54
Ste 307
Trinity, FL 34655
Phone (727) 999-3311

250 Corporate Center Ct
Stockbridge, GA 30281
Phone (770) 954-8685

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1614729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1184219990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 4TH ST N # 19623",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337024305",
            "telephone_number": "727-233-5653",
            "fax_number": "844-820-0984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 ATHENS ST STE D",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346893304",
            "telephone_number": "727-233-5653",
            "fax_number": "844-820-0984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYNES",
        "first_name": "STEPHANIE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-03",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY10933",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY10933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarpon Springs, FL

Sources for this page

Verify at the official NPI Registry.