Active NPI
Stacy Lynn Greeter, M.D
- Child & Adolescent Psychiatry Physician
- Sarasota, FL
National Provider Identifier
1215257845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- ME128423
- Practice address
- 2415 University Parkway
Suite 219
Sarasota, FL 34243 - Phone
- (941) 413-0834
- Fax
- (941) 761-5547
- NPI assigned
- Jun 5, 2010
- Last updated
- Dec 26, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | ME128423 | FL | Primary |
Addresses
Primary practice location
2415 University Parkway
Suite 219
Sarasota, FL 34243
Mailing address
2415 University Parkway
Suite 219
Sarasota, FL 34243
Phone (941) 413-0834
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 1, 2017 through Oct 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Adolescent and Children Mental Health Clinic/Center
- Bradenton, FL
- NPI 1700311818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577318400000",
"number": "1215257845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2415 UNIVERSITY PARKWAY",
"address_2": "SUITE 219",
"city": "SARASOTA",
"state": "FL",
"postal_code": "34243",
"telephone_number": "941-413-0834",
"fax_number": "941-761-5547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2415 UNIVERSITY PARKWAY",
"address_2": "SUITE 219",
"city": "SARASOTA",
"state": "FL",
"postal_code": "34243",
"telephone_number": "941-413-0834",
"fax_number": "941-761-5547"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREETER",
"first_name": "STACY",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-05",
"last_updated": "2019-12-26",
"certification_date": "2019-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "FL",
"license": "ME128423",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sarasota, FL
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- Richard Jeffrey Greenspan, D.D.S.
- Greenview Support Services LLC
- Mark J Greenwald, DDS
- Rebekah Greer
- Carol Gregg, RN, IBCLC
- Gregory D Hicks M.D. P.a-Plastic & Reconsructive Surgery (Professional Plastic surgery center)
- Gregory Logan DC, PA
- Gregory S Rotole DDS PA
- Cameron Gregory
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.