Active NPI
Amberlee Lynn Stuber-Novak, PSY.D.
- Clinical Psychologist
- Cooper City, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY10705
- Practice address
- 4998 SW 88TH Ter
Cooper City, FL 33328-3615 - Phone
- (954) 593-9545
- NPI assigned
- Feb 9, 2021
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY10705 | FL | Primary |
Addresses
Primary practice location
4998 SW 88TH Ter
Cooper City, FL 33328-3615
Mailing address
4998 SW 88TH Ter
Cooper City, FL 33328-3615
Phone (954) 593-9545
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, WI, IA, WA
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 4
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY10705 | FL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Current | Accepting new patients | |
| Teladoc Health Medical Group, P.a. | Current | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
699 Walnut St
Ste 4
Des Moines, IA 50309
Phone (515) 278-9920
8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598
1455 NW Leary Way
Ste 400
Seattle, WA 98107
Phone (206) 202-8506
4321 W College Ave
Ste 200
Appleton, WI 54914
Phone (920) 519-2920
Interoperability endpoints
- amberleestubernovak@tdh.allscriptsdirect.net
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612828800000",
"number": "1225620495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4998 SW 88TH TER",
"city": "COOPER CITY",
"state": "FL",
"postal_code": "333283615",
"telephone_number": "954-593-9545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4998 SW 88TH TER",
"city": "COOPER CITY",
"state": "FL",
"postal_code": "333283615",
"telephone_number": "954-593-9545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUBER-NOVAK",
"first_name": "AMBERLEE",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-09",
"last_updated": "2021-02-09",
"certification_date": "2021-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY10705",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cooper City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.