Stephen Andreopoulos, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

35SI00640800 Issued in NJ

Practice address

75 N Maple Ave Ste 201
Ridgewood, NJ 07450-3261

Phone

(646) 734-2885

NPI assigned

Feb 20, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, NJ2 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

Specialty

Clinical Psychologist

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Stephen Andreopoulos Psychologist PC

  • Clinical Psychologist
  • Mineola, NY
  • NPI 1932460730
  Medicare reassignment Authorized official
• Christine a Knapp Mental Health Counselor PC

  • Mental Health Counselor
  • Mineola, NY
  • NPI 1194598516
  NPD (past)
• New Grace Pharmacy LLC

  • Community/Retail Pharmacy
  • Great Neck, NY
  • NPI 1851820740
  NPD (past)

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1467597260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 CONTANT AVE",
            "city": "HAWORTH",
            "state": "NJ",
            "postal_code": "076411106",
            "telephone_number": "646-734-2885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 N MAPLE AVE STE 201",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503261",
            "telephone_number": "646-734-2885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDREOPOULOS",
        "first_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "015522",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00640800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Amores, M.D.
• Louis Francis Amorosa Jr., M.D.
• Nicole A. Anderson, MD
• Jessica Lynn Andre, CCC-SLP
• Andrea C Marana LLC
• Daniella Alicia Angello, LCSW
• Dorinda Mary Angelo, RN, LPC
• Anna M. Korkis MD PA
• Jack Annunziato, D.O.
• Constance Antonio, NP

• Clinical Psychologist in Ridgewood, NJ
• Providers in Ridgewood, NJ by specialty
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.