Stephanie A Fitzwilliam

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2975 Issued in PR

Practice address

Cond. El Bosque
Apt.1203
Guaynabo, PR 00971

Phone

(787) 593-8380

Fax

(787) 720-9464

NPI assigned

Mar 19, 2008

Last updated

Mar 19, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Stephanie A Fitzwilliam Professional name

Medicare fee-for-service enrollment

Enrolled in PR

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Instituto Para El Desarrollo Personal, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Juan, PR
  • NPI 1376711028
  NPD (past)
• Psyche Centro de Apoyo Psicologico Inc

  • Clinical Psychologist
  • Caguas, PR
  • NPI 1437466083
  NPD (past)

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205884800000",
    "number": "1952572810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "M31 CALLE 13",
            "address_2": "CONDADO MODERNO",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007252443",
            "telephone_number": "787-703-4050",
            "fax_number": "787-703-4115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COND. EL BOSQUE",
            "address_2": "APT.1203",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00971",
            "telephone_number": "787-593-8380",
            "fax_number": "787-720-9464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZWILLIAM",
        "first_name": "STEPHANIE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-19",
        "last_updated": "2008-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "2975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "FITZWILLIAM",
            "middle_name": "A",
            "prefix": "DR.",
            "credential": "PSY.D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Wanda M. Figueroa
• Franchesca Fiorito-Torres, M.D.
• First Health System, Inc. (FHS Clinics)
• First Medical Health Plan, Inc.
• First Pharmacy 6
• FL Cardiology PSC
• Andres Flecha Mojica, 1314P
• Jesmar Flores de Jesus, PSYD
• Yadira Flores Montanez, MD
• Gladys Flores Romero, MD

• Clinical Psychologist in Guaynabo, PR
• Providers in Guaynabo, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; 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.

Verify at the official NPI Registry.