Stephanie Matos-Tabashneck, PSY.D.

Primary specialty

Forensic PsychologistTaxonomy code 103TF0200X

License

10142 Issued in MI

Practice address

240 Heath St Apt 102
Boston, MA 02130-1141

Phone

(248) 840-3186

NPI assigned

May 13, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Stephanie Tabashneck Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1526169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526169600000",
    "number": "1770073058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 HEATH ST APT 102",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021301141",
            "telephone_number": "248-840-3186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 HEATH ST APT 102",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021301141",
            "telephone_number": "248-840-3186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATOS-TABASHNECK",
        "first_name": "STEPHANIE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-13",
        "last_updated": "2018-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MI",
            "license": "10142",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "MI",
            "license": "10142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "TABASHNECK",
            "prefix": "DR.",
            "credential": "PSY.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Marcelo Matiello, MD, MSC
• Mariah Matinian
• George Matli, MD
• Daniel S Matloff, MD
• Paola Marie Matos Ruiz
• Dennis Jared Matos, DC
• Eliu Matos
• Jason Matos, M.D.
• Kiara Matos
• Maria J Matos

• Forensic Psychologist in Boston, MA
• Providers in Boston, MA by specialty
• Forensic Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.