Individual provider Active NPI

Shaina C Fieldstone, PHD

  • Psychologist
  • Coral Gables, FL
National Provider Identifier
1649829763
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
10517 Issued in FL
Practice address
3150 SW 38TH Ave Ste 1320-a
Coral Gables, FL 33146-1531
Phone
(305) 807-6618
NPI assigned
Sep 11, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 10517 FL Primary

Addresses

Primary practice location

3150 SW 38TH Ave Ste 1320-a
Coral Gables, FL 33146-1531

Mailing address

2485 Swanson Ave
Miami, FL 33133-3955

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Simplepractice.com Authentic Self Counseling Group, LLC

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

NPI Registry JSON

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

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1649829763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2485 SWANSON AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331333955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 SW 38TH AVE STE 1320-A",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331461531",
            "telephone_number": "305-807-6618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIELDSTONE",
        "first_name": "SHAINA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-11",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "10517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Simplepractice.com",
            "affiliation": "Y",
            "endpointDescription": "Practice management platform",
            "affiliationName": "Authentic Self Counseling Group, LLC",
            "address_1": "3150 SW 38th Ave Ste 1320-A",
            "city": "Coral Gables",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331461531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.