Stephen Wayne Koncsol, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY2754 Issued in FL

Practice address

134 S Dixie Hwy Ste 104
Hallandale Beach, FL 33009-5423

Phone

(305) 653-0098

NPI assigned

Aug 8, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Psychologist

Education

Other, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Stephen W. Koncsol P.a.

  • Clinical Psychologist
  • North Miami Beach, FL
  • NPI 1174820534
  Medicare reassignment Authorized official
• Wilhelmina S. Koedam PHD P.a.

  • Clinical Psychologist
  • Hallandale Beach, FL
  • NPI 1851698328
  NPD

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1780694349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13200 SW 32ND CT",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333304603",
            "telephone_number": "954-682-9728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 S DIXIE HWY STE 104",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330095423",
            "telephone_number": "305-653-0098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONCSOL",
        "first_name": "STEPHEN",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2023-10-03",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY2754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shirah Klein, COTA/L
• Knopfler Wholistic Wellness Group P.a. (Beachside Chiropractic & Massage)
• Kaymesha Knox
• Szilvia Kocza
• Wilhelmina Siny Koedam, PH.D.
• Michal Koren
• Edward Allan Krinzman, M.D.
• KT's Assisted Living Inc
• Selin Kurlandski, BSC, MSC, PH.D.
• Sharone Shmuel David Kushnir, PSY. D., LP

• Psychologist in Hallandale Beach, FL
• Providers in Hallandale Beach, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; 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.

Verify at the official NPI Registry.