Active NPI
Debra Ann Stein, PH.D.
- Clinical Psychologist
- Boca Raton, FL
National Provider Identifier
1184836892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY7133
- Practice address
- 950 Peninsu;la Corporate Circle
Suite 3000
Boca Raton, FL 33487 - Phone
- (561) 999-8881
- NPI assigned
- May 4, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY7133 | FL | Primary |
| Clinical Psychologist | 103TC0700X | 35S100346000 | NJ |
Addresses
Primary practice location
950 Peninsu;la Corporate Circle
Suite 3000
Boca Raton, FL 33487
Mailing address
7201 N.E. Bay Harbour Ave.
Boca Raton, FL 33487-1707
Phone (561) 998-9040
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 75022A | Other | FL | BLUE CROSS BLUE SHIELD FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 1, 2023 through Oct 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35S100346000 | NJ | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mauro Reynolds & Associates in Counseling Inc | Clinical | Past | Accepting new patients |
| Cme Psychology Consultants PA | Clinical | Past | Accepting new patients |
| Abbe Polsyn PSYD PA | Clinical | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Clinical Psychologist
- Boca Raton, FL
- NPI 1639202641
-
- Clinical Psychologist
- Delray Beach, FL
- NPI 1093852527
-
- Clinical Psychologist
- Delray Beach, FL
- NPI 1548271547
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235520000000",
"number": "1184836892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7201 N.E. BAY HARBOUR AVE.",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334871707",
"telephone_number": "561-998-9040",
"fax_number": "561-998-9040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 PENINSU;LA CORPORATE CIRCLE",
"address_2": "SUITE 3000",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "33487",
"telephone_number": "561-999-8881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEIN",
"first_name": "DEBRA",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-04",
"last_updated": "2009-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY7133",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NJ",
"license": "35S100346000",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD FL",
"identifier": "75022A",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.