Active NPI
Steven Mark Warner, PHD
- Psychologist
- Cape Canaveral, FL
National Provider Identifier
1821163189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY0003954
- Practice address
- 102 Columbia Dr Ste 107
Cape Canaveral, FL 32920-5107 - Phone
- (305) 753-2909
- NPI assigned
- Nov 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY0003954 | FL | Primary |
Addresses
Primary practice location
102 Columbia Dr Ste 107
Cape Canaveral, FL 32920-5107
Mailing address
102 Columbia Dr Ste 107
Cape Canaveral, FL 32920-5107
Phone (305) 753-2909
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY0003954 | FL | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678233600000",
"number": "1821163189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 COLUMBIA DR STE 107",
"city": "CAPE CANAVERAL",
"state": "FL",
"postal_code": "329205107",
"telephone_number": "305-753-2909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 COLUMBIA DR STE 107",
"city": "CAPE CANAVERAL",
"state": "FL",
"postal_code": "329205107",
"telephone_number": "305-753-2909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARNER",
"first_name": "STEVEN",
"middle_name": "MARK",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-22",
"last_updated": "2023-03-08",
"certification_date": "2023-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "FL",
"license": "PY0003954",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cape Canaveral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.