Individual provider Active NPI

Stefania Dannacher, PSY.D.

  • Clinical Psychologist
  • Coconut Creek, FL
National Provider Identifier
1730698713
Registry record updated Jun 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY10444 Issued in FL
Practice address
4851 W Hillsboro Blvd Ste A1
Coconut Creek, FL 33073
Phone
(954) 428-6020
NPI assigned
Sep 22, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY10444 FL Primary

Addresses

Primary practice location

4851 W Hillsboro Blvd Ste A1
Coconut Creek, FL 33073

Mailing address

4851 W Hillsboro Blvd Ste A1
Coconut Creek, FL 33073-4355
Phone (954) 303-8406

Other practice location 1

2233 N Commerce Pkwy
Weston, FL 33326-3252
Phone (954) 217-1757

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190823001162 FL Practitioner - Clinical Psychologist 9032447370 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Martin D Segel PHDGroup PAC ID 9638078454, 4 clinicians

Practice addresses (Care Compare)

4851 W Hillsboro Blvd
A1
Coconut Creek, FL 33073-4355
Phone (954) 428-6020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PY10444FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Martin D Segel PH.D. CurrentSince Jun 16, 2019 Accepting new patients

Locations

4851 W Hillsboro Blvd
Ste A1
Coconut Creek, FL 33073
Phone (561) 463-2235

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1506038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559692800000",
    "number": "1730698713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4851 W HILLSBORO BLVD STE A1",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734355",
            "telephone_number": "954-303-8406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4851 W HILLSBORO BLVD STE A1",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "33073",
            "telephone_number": "954-428-6020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2233 N Commerce Pkwy",
            "address_purpose": "LOCATION",
            "city": "Weston",
            "state": "FL",
            "postal_code": "333263252",
            "country_code": "US",
            "telephone_number": "954-217-1757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANNACHER",
        "first_name": "STEFANIA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-22",
        "last_updated": "2019-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY10444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coconut Creek, FL

Sources for this page

Verify at the official NPI Registry.