Active NPI
Stefania Dannacher, PSY.D.
- Clinical Psychologist
- Coconut Creek, FL
National Provider Identifier
1730698713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY10444
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PY10444 | FL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Martin D Segel PH.D. | Current | 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.
-
- Psychologist
- Coconut Creek, FL
- NPI 1891974317
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.