Individual provider Active NPI

Stephanie Lippman, PSY.D.

  • Clinical Psychologist
  • Greenacres, FL
National Provider Identifier
1407283948
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY8639 Issued in FL
Practice address
6803 Lake Worth Rd Ste 215
Greenacres, FL 33467-2979
Phone
(561) 207-7625
NPI assigned
Sep 30, 2013
Last updated
Oct 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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 PY8639 FL Primary

Addresses

Primary practice location

6803 Lake Worth Rd Ste 215
Greenacres, FL 33467-2979

Mailing address

6803 Lake Worth Rd Ste 215
Greenacres, FL 33467-2979
Phone (561) 207-7625

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240611003780 FL Practitioner - Clinical Psychologist 0749504769 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
Group practices
Psywell LLCGroup PAC ID 5294277810, 6 clinicians

Practice addresses (Care Compare)

6803 Lake Worth Rd
Suite 215
Greenacres, FL 33467-2979
Phone (561) 207-7625

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PY8639FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Psybridge, LLC Clinical Current Accepting new patients
Psywell, LLC Clinical CurrentSince May 16, 2024 Accepting new patients

Locations

6803 Lake Worth Rd
#215
Greenacres, FL 33467
Phone (561) 207-7625

6803 Lake Worth Rd
Ste 215
Greenacres, FL 33467
Phone (561) 207-7625

8401 Lake Worth Rd
#210
Lake Worth, FL 33467
Phone (561) 207-7625

8401 Lake Worth Rd
Ste 213
Lake Worth, FL 33467

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, 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": "1380499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1407283948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6803 LAKE WORTH RD STE 215",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334672979",
            "telephone_number": "561-207-7625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6803 LAKE WORTH RD STE 215",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334672979",
            "telephone_number": "561-207-7625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPPMAN",
        "first_name": "STEPHANIE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-30",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY8639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenacres, FL

Sources for this page

Verify at the official NPI Registry.