Stephanie Marie Roque Midoneck

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

501 Goodlette Frank Rd
Naples, FL 34102-5661

Phone

(239) 289-9796

NPI assigned

Jun 8, 2017

Last updated

Jul 9, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Balanced Wellbeing LLCGroup PAC ID 5193021848, 228 clinicians

Lorel Services LLCGroup PAC ID 9133533789, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Balanced Wellbeing LLC

  • Psychiatry Physician
  • Ocala, FL
  • NPI 1336513639

  Psychologist

  Medicare reassignment Care Compare group NPD
• Lorel Services LLC

  dba Counseling Associates of America

  • Psychologist
  • Naples, FL
  • NPI 1861094351
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562630400000",
    "number": "1366971673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 GOODLETTE FRANK RD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 GOODLETTE FRANK RD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025661",
            "telephone_number": "239-289-9796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROQUE MIDONECK",
        "first_name": "STEPHANIE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-08",
        "last_updated": "2019-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Romilio Marques MD PA (Romilio F. Marques)
• Ronald E. Howard, Jr., M.D.,PA
• Noel Oscar Roncal, M.D.
• Ronny R Valenzuela M D P a
• Yarelys Roque Jorge
• Yaiser Roque Perez, APRN
• Rosa Laura Medical Clinic LLC
• Melissa De la Caridad Rosa Santizo
• Liz Rosabal Cruz
• Crisbel Rosabal Pernas, MD

• Psychologist in Naples, FL
• Providers in Naples, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.
• 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.

Verify at the official NPI Registry.