Individual provider Active NPI

Steven Shelby Minter, PSY.D.

  • Clinical Psychologist
  • Plant City, FL
National Provider Identifier
1407102346
Registry record updated Jul 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY8553 Issued in FL
Practice address
607 S Alexander St
Suite 104
Plant City, FL 33563-5053
Phone
(813) 385-7041
NPI assigned
Jul 30, 2012
Last updated
Jul 30, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY8553 FL Primary

Addresses

Primary practice location

607 S Alexander St
Suite 104
Plant City, FL 33563-5053

Mailing address

607 S Alexander St
Suite 104
Plant City, FL 33563-5053
Phone (813) 385-7041

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120927000010 FL Practitioner - Clinical Psychologist 9234388893 Reassigns benefits to 1 organization
I20150203000688 FL Practitioner - Clinical Psychologist 9234388893 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

607 S Alexander St
Plant City, FL 33563-5050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PY8553FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Steven S. Minter, Psy.D., LLC CurrentSince Aug 6, 2012 Accepting new patients

Locations

607 S Alexander St
Ste 104
Plant City, FL 33563
Phone (813) 385-7041

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.

NPI Registry JSON

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

{
    "created_epoch": "1343606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343606400000",
    "number": "1407102346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 S ALEXANDER ST",
            "address_2": "SUITE 104",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335635053",
            "telephone_number": "813-385-7041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 S ALEXANDER ST",
            "address_2": "SUITE 104",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335635053",
            "telephone_number": "813-385-7041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINTER",
        "first_name": "STEVEN",
        "middle_name": "SHELBY",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-30",
        "last_updated": "2012-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY8553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plant City, FL

Sources for this page

Verify at the official NPI Registry.