Stephanie Marie Molina, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY11155 Issued in FL

Practice address

96 SW Allapattah Rd
Indiantown, FL 34956-4307

Phone

(772) 597-9400

NPI assigned

Nov 2, 2020

Last updated

Sep 7, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Dr. Stephany M. Molina Professional name

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Geo Care, Inc.

  • Psychiatric Hospital
  • Indiantown, FL
  • NPI 1750666053
  NPD (past)

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

{
    "created_epoch": "1604275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630972800000",
    "number": "1760083315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 SW ALLAPATTAH RD",
            "city": "INDIANTOWN",
            "state": "FL",
            "postal_code": "349564307",
            "telephone_number": "772-597-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 SW ALLAPATTAH RD",
            "city": "INDIANTOWN",
            "state": "FL",
            "postal_code": "349564307",
            "telephone_number": "772-597-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLINA",
        "first_name": "STEPHANIE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-02",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY11155",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "11386",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANY",
            "last_name": "MOLINA",
            "middle_name": "M.",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Karen Ann Mercer, ARNP
• Hamilton Merilus, MSW, ED.D
• John Maron Mike, M.D.
• Milestone Learning Corp
• Alfredo Miranda
• Carlos A. Morales, D.D.S.
• Maria Isabel Moreno Cembrero
• Candy Edith Pagan, BA
• Alicia B. Pajares, LCSW
• John Pasquale, OTR/L

• Clinical Psychologist in Indiantown, FL
• Providers in Indiantown, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; 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.