Individual provider Active NPI

Steven Peter Dingfelder, PH.D.

  • Clinical Psychologist
  • St Augustine, FL
National Provider Identifier
1871576405
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY0003269 Issued in FL
Practice address
9 Saint Johns Medical PK Dr
St Augustine, FL 32086-5343
Phone
(904) 797-2705
Fax
(904) 797-2820
NPI assigned
Nov 29, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 PY0003269 FL Primary

Addresses

Primary practice location

9 Saint Johns Medical PK Dr
St Augustine, FL 32086-5343

Mailing address

9 Saint Johns Medical PK Dr
St Augustine, FL 32086-5343
Phone (904) 797-2705

Other identifiers 1

IdentifierTypeStateIssuer
75230OtherFLBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20101230000993 FL Practitioner - Clinical Psychologist 7810941788 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Indiana University School of Medicine, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dr. Townsend and Associates, P.a.Group PAC ID 4587852249, 6 clinicians

Practice addresses (Care Compare)

9 Saint Johns Medical Park Dr
Suite a
St Augustine, FL 32086-5955
Phone (904) 797-2705

9 St Johns Medical Park Dr
St a
St Augustine, FL 32086-5954

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY0003269FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Townsend & Associates, P.a. Clinical CurrentSince Aug 16, 2010 Accepting new patients
Dr. Steven P. Dingfelder & Assoc., Inc. Clinical PastSince May 1, 1999 Accepting new patients

Locations

9 Saint Johns Medical Park Dr
St Augustine, FL 32086
Phone (904) 797-2705

9 Saint Johns Medical Park Dr
Ste A
St Augustine, FL 32086
Phone (904) 797-2705

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.

NPI Registry JSON

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1871576405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 SAINT JOHNS MEDICAL PK DR",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865343",
            "telephone_number": "904-797-2705",
            "fax_number": "904-797-2820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 SAINT JOHNS MEDICAL PK DR",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865343",
            "telephone_number": "904-797-2705",
            "fax_number": "904-797-2820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINGFELDER",
        "first_name": "STEVEN",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-29",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY0003269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "75230",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

Verify at the official NPI Registry.