Individual provider Active NPI

Steven Stein, MD

  • Psychiatry Physician
  • Sarasota, FL
National Provider Identifier
1417319104
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME144922 Issued in FL
Practice address
2650 Bahia Vista St Ste 204
Sarasota, FL 34239-2625
Phone
(941) 202-1999
Fax
(941) 202-2009
NPI assigned
Mar 22, 2016
Last updated
Aug 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME144922 FL Primary

Addresses

Primary practice location

2650 Bahia Vista St Ste 204
Sarasota, FL 34239-2625

Mailing address

2650 Bahia Vista St Ste 204
Sarasota, FL 34239-2625

Other practice location 1

4480 51st St W
Bradenton, FL 34210-2855
Phone (941) 251-5000

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200817001347 FL Practitioner - Psychiatry 4981936309 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tidewater Total Mind Care LLCGroup PAC ID 0648638734, 8 clinicians

Practice addresses (Care Compare)

2650 Bahia Vista St
Suite 204
Sarasota, FL 34239-2625
Phone (941) 202-1999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Tidewater Total Mind Care, LLC Psychiatry CurrentSince Feb 8, 2023 Accepting new patients

Locations

2650 Bahia Vista St
Ste 204
Sarasota, FL 34239
Phone (941) 202-1999

3333 Clark Rd
Ste 100
Sarasota, FL 34231
Phone (941) 202-1999

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": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1417319104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 BAHIA VISTA ST STE 204",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 BAHIA VISTA ST STE 204",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392625",
            "telephone_number": "941-202-1999",
            "fax_number": "941-202-2009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4480 51st St W",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342102855",
            "country_code": "US",
            "telephone_number": "941-251-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEIN",
        "first_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-22",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME144922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.