Frederick Lecompte Stevens Jr., PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY4177 Issued in FL

Practice address

1401 SE Goldtree Dr
Suite 104
Port St Lucie, FL 34952-7584

Phone

(772) 398-4377

Fax

(772) 905-8526

NPI assigned

Aug 11, 2005

Sex

Male

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)

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.

• Kenneth J Gold MD PA

  • Psychiatry Physician
  • Port St Lucie, FL
  • NPI 1902944739
  NPD (past)

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337731200000",
    "number": "1629070438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 SE GOLDTREE DR",
            "address_2": "SUITE 104",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349527584",
            "telephone_number": "772-398-4377",
            "fax_number": "772-905-8526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 SE GOLDTREE DR",
            "address_2": "SUITE 104",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349527584",
            "telephone_number": "772-398-4377",
            "fax_number": "772-905-8526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "FREDERICK",
        "middle_name": "LECOMPTE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2012-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY4177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Steele
• Step by Step Health
• Stephen G. Blank, DDS, PA
• Stephen P. Davis, PH.D., P.a.
• Raymond Stephens, LCSW
• Carrie Lynn Stewart, M.A., CCC-SLP
• Kimberly Joan Stewart, LMT
• Y Stewart, RBT
• Pamela Sue Stierwalt, LMHC
• Malcolm Stimphil

• Psychologist in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2012; 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.