Active NPI
Stephanie Tabitha Cojocaru
- Clinical Psychologist
- St Petersburg, FL
National Provider Identifier
1346535135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY9609
- Practice address
- 233 3Rd St N Ste 101
St Petersburg, FL 33701-3818 - Phone
- (773) 573-3300
- NPI assigned
- Jun 9, 2011
- 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 | PY9609 | FL | Primary |
Addresses
Primary practice location
233 3Rd St N Ste 101
St Petersburg, FL 33701-3818
Mailing address
233 3Rd St N Ste 101
St Petersburg, FL 33701-3818
Phone (773) 573-3300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY9609 | FL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558310400000",
"number": "1346535135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "233 3RD ST N STE 101",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337013818",
"telephone_number": "773-573-3300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "233 3RD ST N STE 101",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337013818",
"telephone_number": "773-573-3300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COJOCARU",
"first_name": "STEPHANIE",
"middle_name": "TABITHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-09",
"last_updated": "2019-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY9609",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2019; 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.