Active NPI
Stephen P. Daurio, PH.D.
- Clinical Psychologist
- Westfield, NJ
National Provider Identifier
1942409404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 009135-1
- Practice address
- 222 Midwood PL
Westfield, NJ 07090-2510 - Phone
- (718) 983-5376
- NPI assigned
- Jul 15, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 009135-1 | NY | Primary |
Addresses
Primary practice location
222 Midwood PL
Westfield, NJ 07090-2510
Mailing address
222 Midwood PL
Westfield, NJ 07090-2510
Phone (718) 983-5376
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01517711 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009135-1 | NY | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifespire, Inc. | Current | Accepting new patients | |
| Superior Clinical Care PLLC | Current | Accepting new patients | |
| Lifespire, Inc. | Current | Accepting new patients |
Locations
21301 Northern Blvd
Fl 2
Bayside, NY 11361
Phone (718) 721-5444
16210 Jamaica Ave
Ste 7
Jamaica, NY 11432
Phone (718) 454-2700
159 E 125th St
Fl 2
New York, NY 10035
Phone (212) 360-5600
Organizations & group practices 3
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.
-
- Clinic/Center
- New York, NY
- NPI 1497709166
-
- Contractor
- Staten Island, NY
- NPI 1154487122
-
- Voluntary or Charitable Agency
- Hollis, NY
- NPI 1164629788
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184457600000",
"number": "1942409404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 MIDWOOD PL",
"city": "WESTFIELD",
"state": "NJ",
"postal_code": "070902510",
"telephone_number": "718-983-5376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 MIDWOOD PL",
"city": "WESTFIELD",
"state": "NJ",
"postal_code": "070902510",
"telephone_number": "718-983-5376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAURIO",
"first_name": "STEPHEN",
"middle_name": "P.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-15",
"last_updated": "2007-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "009135-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01517711",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Westfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.