Coastal Neuropsychology, LLC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Legal business name

COASTAL NEUROPSYCHOLOGY, LLC

Practice address

3000 Gulf to Bay Blvd Ste 300
Clearwater, FL 33759-4304

Phone

(800) 687-1938

Fax

(727) 495-7233

NPI assigned

Mar 29, 2016

Last updated

Jul 5, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Stefanie Coppes, PH.D.NPI 1093065807

Title

Owner

Phone

(800) 687-1938

Specialties & licenses 8

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Madison A Boblett-Hunt, PSY.D.

  • Clinical Psychologist
  • Sarasota, FL
  • NPI 1235957242
  Medicare reassignment Care Compare group NPD
• Christina D Brown, PSYD

  • Clinical Psychologist
  • Clearwater, FL
  • NPI 1487886164
  Medicare reassignment Care Compare group NPD
• Daniella Marie Carter, PSY.D.

  • Psychologist
  • Sarasota, FL
  • NPI 1346519287

  Clinical

  Medicare reassignment Care Compare group NPD
• Stefanie J Coppes, PH.D.

  • Psychologist
  • Clearwater, FL
  • NPI 1093065807
  Medicare reassignment NPD Authorized official
• Kalynn Gruenfelder, PSY.D.

  • Clinical Psychologist
  • Clearwater, FL
  • NPI 1912625260
  Medicare reassignment Care Compare group NPD
• Samantha C Omelian, PH.D.

  • Psychologist
  • Clearwater, FL
  • NPI 1982089140
  Medicare reassignment Care Compare group NPD
• Heer Panchal, PSYD

  • Clinical Psychologist
  • Sarasota, FL
  • NPI 1447979950
  Medicare reassignment Care Compare group NPD
• Jennifer Thibodeaux, PH.D.

  • Psychologist
  • St Petersburg, FL
  • NPI 1013467919
  Medicare reassignment Care Compare group NPD
• Janet M Bertoldi, PH.D.

  • Psychologist
  • Bradenton, FL
  • NPI 1750305587

  Clinical

  Medicare reassignment NPD
• Laura Elaine Lajos, PH.D.

  • Clinical Psychologist
  • Sarasota, FL
  • NPI 1174556765
  Medicare reassignment NPD
• Monique Cohn-Moore

  • Psychologist
  • Clearwater, FL
  • NPI 1225758949

  Cognitive & Behavioral

  NPD

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

{
    "created_epoch": "1459209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656979200000",
    "number": "1871956805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8",
            "city": "TERRA CEIA",
            "state": "FL",
            "postal_code": "342500008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 GULF TO BAY BLVD STE 300",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337594304",
            "telephone_number": "800-687-1938",
            "fax_number": "727-495-7233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL NEUROPSYCHOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-29",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A",
        "authorized_official_last_name": "COPPES",
        "authorized_official_first_name": "STEFANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "800-687-1938",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "FL",
            "license": "PY8604",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY8604",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "FL",
            "license": "PY8604",
            "primary": false
        },
        {
            "code": "103TE1100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Exercise & Sports",
            "state": "FL",
            "license": "PY8604",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "FL",
            "license": "PY8604",
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "FL",
            "license": "PY8604",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "FL",
            "license": "PY8604",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Donald Bruce Cochran, OD OPTOMETRY DOCTOR
• John Barry Cochran
• John Michael Cochran, MD

• Clinical Neuropsychologist in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Clinical Neuropsychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.