Individual provider Active NPI

Steven David Macchione, PSYD

  • Clinical Psychologist
  • Plantation, FL
National Provider Identifier
1801413315
Registry record updated Jun 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY10150 Issued in FL
Practice address
328 NW 97TH Ave
Plantation, FL 33324-7068
Phone
(954) 895-3266
NPI assigned
Jun 30, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY10150 FL Primary

Addresses

Primary practice location

328 NW 97TH Ave
Plantation, FL 33324-7068

Mailing address

328 NW 97TH Ave
Plantation, FL 33324-7068
Phone (954) 895-3266

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jun 12, 2018 through Jun 12, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PY10150FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Macchione Psychological Services, PLLC CurrentSince Nov 8, 2020 Accepting new patients
Aa Psychology PLLC Clinical Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593475200000",
    "number": "1801413315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 NW 97TH AVE",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333247068",
            "telephone_number": "954-895-3266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 NW 97TH AVE",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333247068",
            "telephone_number": "954-895-3266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACCHIONE",
        "first_name": "STEVEN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-30",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY10150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.