Active NPI
Jason Corbin Steward, PH.D.
- Clinical Psychologist
- Bay Pines, FL
National Provider Identifier
1518104017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PPY123
- Practice address
- 10000 Bay Pines Blvd.
Bay Pines VA Healthcare System
Bay Pines, FL 33774 - Phone
- (727) 398-6661
- NPI assigned
- Jan 21, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PPY123 | FL | Primary |
Addresses
Primary practice location
10000 Bay Pines Blvd.
Bay Pines VA Healthcare System
Bay Pines, FL 33774
Mailing address
10000 Bay Pines Blvd.
Bay Pines VA Healthcare System
Bay Pines, FL 33774
Phone (727) 398-6661
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PPY123 | FL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232496000000",
"number": "1518104017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10000 BAY PINES BLVD.",
"address_2": "BAY PINES VA HEALTHCARE SYSTEM",
"city": "BAY PINES",
"state": "FL",
"postal_code": "33774",
"telephone_number": "727-398-6661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10000 BAY PINES BLVD.",
"address_2": "BAY PINES VA HEALTHCARE SYSTEM",
"city": "BAY PINES",
"state": "FL",
"postal_code": "33774",
"telephone_number": "727-398-6661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWARD",
"first_name": "JASON",
"middle_name": "CORBIN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-01-21",
"last_updated": "2009-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PPY123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bay Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.