Active NPI
Marnie Stefan Acta, M.D.
- Psychiatry Physician
- Gainesville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME113204
- Practice address
- 1121 NW 64TH Ter
Suite a
Gainesville, FL 32605-4243 - Phone
- (352) 331-3583
- Fax
- (352) 331-3669
- NPI assigned
- Jun 26, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | TRN-12713 | FL | |
| Psychiatry Physician | 2084P0800X | ME113204 | FL | Primary |
Addresses
Primary practice location
1121 NW 64TH Ter
Suite a
Gainesville, FL 32605-4243
Mailing address
1121 NW 64TH Ter
Suite a
Gainesville, FL 32605-4243
Phone (352) 331-3583
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005575900 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1200 7TH Ave N
St Petersburg, FL 33705-1300
Phone (727) 532-1355
1301 Riverplace Blvd
Suite 800
Jacksonville, FL 32207-9032
Phone (833) 351-8255
300 Pinellas St
Clearwater, FL 33756-3804
Phone (727) 281-9065
3001 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6307
Phone (727) 532-1355
4211 Van Dyke Rd
Lutz, FL 33558-8005
Phone (727) 532-1355
601 Main St
Dunedin, FL 34698-5848
Phone (727) 281-9065
6600 Madison St
New Port Richey, FL 34652-1971
Phone (727) 532-1355
Hospital & facility affiliations
- St Josephs Hospital
- St Anthonys Hospital
- Mease Dunedin Hospital
- Morton Plant Hospital
- Adventhealth Deland
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME113204 | FL | MD | Psychiatry Physician |
| TRN-12713 | FL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavioral Health Management Services, Inc. | Current | Accepting new patients | |
| Baycare Behavioral Health Associates LLC | Psychiatry | Current | Accepting new patients |
| Baycare Behavioral Health Associates LLC | Psychiatry | Current | Accepting new patients |
| Baycare Behavioral Health Inc. | Current | Accepting new patients | |
| MCCD Psychiatry Services PLLC | Psychiatry | Current | Accepting new patients |
| Baycare Behavioral Health, Inc | Current | Accepting new patients | |
| Behavioral Health Management Services, Inc. | Current | Accepting new patients | |
| Winter Haven Hospital Inc | Current | Accepting new patients | |
| MCCD FL Psychiatry Services PA | Psychiatry | Current | Accepting new patients |
| Behavioral Health Management Services, Inc | Current | Accepting new patients | |
| Baycare Behavioral Health Inc. | Current | Accepting new patients |
Locations
1106 Druid Rd S
Clearwater, FL 33756
Phone (727) 584-6266
601 Main St
Dunedin, FL 34698
Phone (727) 461-1133
1301 Riverplace Blvd
Jacksonville, FL 32207
1301 Riverplace Blvd
Ste 800
Jacksonville, FL 32207
Phone (904) 567-6040
4211 Van Dyke Rd
Lutz, FL 33558
Phone (813) 265-6300
7809 Massachusetts Ave
Ste 100
New Prt Rchy, FL 34653
Phone (727) 841-4200
6600 Madison St
New Pt Richey, FL 34652
Phone (727) 841-4611
2727 W Mlk Blvd
Ste 640
Tampa, FL 33607
Phone (813) 842-7582
109 W 27th St
#55
New York, NY 10001
109 W 27th St
Rm 5S
New York, NY 10001
Phone (332) 230-4572
Networks
- Freedom Health HMO Network
Interoperability endpoints
- marnie.stefanmd@direct.mybaycare.org
Organizations & group practices 11
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.
-
- Psychiatry Physician
- Lutz, FL
- NPI 1245502152
-
- Psychiatry Physician
- Jacksonville, FL
- NPI 1659003457
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- New Port Richey, FL
- NPI 1225312549
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Clearwater, FL
- NPI 1417052713
-
- General Acute Care Hospital
- Winter Haven, FL
- NPI 1477599975
-
- Psychiatry Physician
- Clearwater, FL
- NPI 1952856858
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Dade City, FL
- NPI 1831451137
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- New Port Richey, FL
- NPI 1801611132
-
- Mental Health Counselor
- Tampa, FL
- NPI 1659326130
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Valrico, FL
- NPI 1215403662
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Deland, FL
- NPI 1649367269
-
- General Acute Care Hospital
- Clearwater, FL
- NPI 1376529743
-
- General Acute Care Hospital
- St Petersburg, FL
- NPI 1427024942
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1346519816
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1881632818
-
- General Acute Care Hospital
- Dunedin, FL
- NPI 1336125640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452729600000",
"number": "1336301753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1121 NW 64TH TER",
"address_2": "SUITE A",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326054243",
"telephone_number": "352-331-3583",
"fax_number": "352-331-3669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1121 NW 64TH TER",
"address_2": "SUITE A",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326054243",
"telephone_number": "352-331-3583",
"fax_number": "352-331-3669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEFAN ACTA",
"first_name": "MARNIE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-26",
"last_updated": "2016-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "TRN-12713",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME113204",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "005575900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2016; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.