Active NPI
Stephanie F Haag, PSY.D.
- Cognitive & Behavioral Psychologist
- Rockville Centre, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cognitive & Behavioral Psychologist
- License
- 018944-1
- Practice address
- 165 N Village Ave Ste 112
Rockville Centre, NY 11570-3701 - Phone
- (516) 665-9669
- Fax
- (516) 665-9670
- NPI assigned
- May 2, 2011
- Last updated
- Jun 25, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | 018944-1 | NY | Primary |
| School Psychologist | 103TS0200X | 018944-1 | NY |
Addresses
Primary practice location
165 N Village Ave Ste 112
Rockville Centre, NY 11570-3701
Mailing address
400 Montauk Hwy Ste 112
West Islip, NY 11795-4429
Phone (516) 477-0086
Other practice location 1
1926 Oakland Ave
Wantagh, NY 11793-3610
Phone (516) 781-0457
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018944-1 | NY | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| B&L Cognitive Behavioral Psychology PLLC | Current | Accepting new patients | |
| Wantagh Psychological Counseling Services PC | Past | Accepting new patients |
Locations
165 N Village Ave
Ste 112
Rockville Centre, NY 11570
Phone (516) 665-9669
165 N Village Ave
Ste 216
Rockville Ctr, NY 11570
Phone (516) 665-9669
400 Montauk Hwy
Ste 112
West Islip, NY 11795
Phone (631) 321-7107
Organizations & group practices 2
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.
-
dba New York Cognitive Therapy and Wellness Center
- Clinical Psychologist
- Rockville Centre, NY
- NPI 1891875225
-
dba Wantagh Seaford Counseling Services
- Psychologist
- Wantagh, NY
- NPI 1922134253
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593043200000",
"number": "1790076255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 MONTAUK HWY STE 112",
"city": "WEST ISLIP",
"state": "NY",
"postal_code": "117954429",
"telephone_number": "516-477-0086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "165 N VILLAGE AVE STE 112",
"city": "ROCKVILLE CENTRE",
"state": "NY",
"postal_code": "115703701",
"telephone_number": "516-665-9669",
"fax_number": "516-665-9670"
}
],
"practiceLocations": [
{
"address_1": "1926 Oakland Ave",
"address_purpose": "LOCATION",
"city": "Wantagh",
"state": "NY",
"postal_code": "117933610",
"country_code": "US",
"telephone_number": "516-781-0457",
"fax_number": "718-470-8131",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAAG",
"first_name": "STEPHANIE",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-02",
"last_updated": "2020-06-25",
"certification_date": "2020-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "NY",
"license": "018944-1",
"primary": true
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NY",
"license": "018944-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockville Centre, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.