Stephanie Anne Allen

Primary specialty

PsychologistTaxonomy code 103T00000X

License

68021053 Issued in NY

Practice address

123 Carley Dr
West Sayville, NY 11796-1007

Phone

(631) 796-9641

NPI assigned

Feb 6, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• SRG Treatment Services Incorporated

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • West Sayville, NY
  • NPI 1124706247
  NPD Authorized official

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

{
    "created_epoch": "1423180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423180800000",
    "number": "1568853901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 CARLEY DR",
            "city": "WEST SAYVILLE",
            "state": "NY",
            "postal_code": "117961007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 CARLEY DR",
            "city": "WEST SAYVILLE",
            "state": "NY",
            "postal_code": "117961007",
            "telephone_number": "631-796-9641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "STEPHANIE",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-06",
        "last_updated": "2015-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "68021053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara May Abend, TEACHER
• Robbin Anne Aloise, RN
• Julianna Ambrosio
• Robin Lynn Arias, PA
• Salvatore Bellafiore, ED.D, MS, BS
• Shannon Bree Bellittieri

• Psychologist in West Sayville, NY
• Providers in West Sayville, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.