Debra Lynn Stibick, PH.D., LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

DEBRA LYNN STIBICK, PH.D., LLC

Practice address

8130 66TH St N Ste 10
Pinellas Park, FL 33781-2111

Phone

(520) 490-2040

Fax

(727) 565-4188

NPI assigned

Oct 28, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Debra Lynn Stibick, PHDNPI 1588641666

Title

Psychologist/Owner

Phone

(520) 490-2040

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Debra Lynn Stibick, PH.D.

  • Clinical Psychologist
  • Pinellas Park, FL
  • NPI 1588641666
  NPD (past) Authorized official

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

{
    "created_epoch": "1540684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540684800000",
    "number": "1629545629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3236",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337753236",
            "telephone_number": "520-490-2040",
            "fax_number": "727-565-4188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8130 66TH ST N STE 10",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337812111",
            "telephone_number": "520-490-2040",
            "fax_number": "727-565-4188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBRA LYNN STIBICK, PH.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-28",
        "last_updated": "2018-10-28",
        "status": "A",
        "authorized_official_last_name": "STIBICK",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "520-490-2040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Pinellas Park, FL
• Providers in Pinellas Park, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2018; 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.