Individual provider Active NPI

Steven Elliot Reisler, PSY.D.

  • Clinical Psychologist
  • Boca Raton, FL
National Provider Identifier
1942414149
Registry record updated Sep 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY7338 Issued in FL
Practice address
7301 W Palmetto Park Rd
Suite 205a
Boca Raton, FL 33433-3458
Phone
(561) 239-4062
Fax
(561) 544-8860
NPI assigned
May 9, 2007
Last updated
Sep 8, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2011

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 PY7338 FL Primary

Addresses

Primary practice location

7301 W Palmetto Park Rd
Suite 205a
Boca Raton, FL 33433-3458

Mailing address

7301 W Palmetto Park Rd
Suite 205a
Boca Raton, FL 33433-3458
Phone (561) 239-4062

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
I20070529000001 FL Practitioner - Clinical Psychologist 7416054499 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5300 Atlantic Ave
Suite 408
Delray Beach, FL 33484-8141
Phone (561) 239-4062

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PY7338FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Steven Reisler Psy D PA Clinical CurrentSince Oct 31, 2006 Accepting new patients
Mind Care Inc. PastSince Jan 13, 2010 Accepting new patients

Locations

7301 W Palmetto Park Rd
Ste 205A
Boca Raton, FL 33433
Phone (561) 239-4062

5300 Atlantic Ave
Ste 408
Delray Beach, FL 33484
Phone (561) 239-4062

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": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315440000000",
    "number": "1942414149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 W PALMETTO PARK RD",
            "address_2": "SUITE 205A",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333458",
            "telephone_number": "561-239-4062",
            "fax_number": "561-544-8860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 W PALMETTO PARK RD",
            "address_2": "SUITE 205A",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333458",
            "telephone_number": "561-239-4062",
            "fax_number": "561-544-8860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REISLER",
        "first_name": "STEVEN",
        "middle_name": "ELLIOT",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2011-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY7338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.