Individual provider Active NPI

Stephanie Dean Fish, PMHNP-BC, MSN, ARNP

  • Mental Health Counselor
  • Melbourne, FL
National Provider Identifier
1952741845
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
ARNP2925952 Issued in FL
Practice address
2020 Commerce Dr
Melbourne, FL 32904-2335
Phone
(321) 952-6000
Fax
(321) 952-6010
NPI assigned
Jun 25, 2013
Last updated
Feb 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X ARNP2925952 FL
Mental Health Counselor 101YM0800X ARNP2925952 FL Primary

Addresses

Primary practice location

2020 Commerce Dr
Melbourne, FL 32904-2335

Mailing address

400 East Sheridan Rd
Melbourne, FL 32901-3122
Phone (321) 952-6000

Other practice location 1

880 Dr Martin Luther King Jr Blvd
Melbourne, FL 32901-2909
Phone (321) 722-5200

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150709001221 FL Practitioner - Nurse Practitioner 3678885373 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Circles of Care IncGroup PAC ID 8729069380, 26 clinicians

Practice addresses (Care Compare)

1770 Cedar St
Rockledge, FL 32955-3133
Phone (407) 634-6264

2000 Commerce Dr
West Melbourne, FL 32904-2335
Phone (407) 676-6650

2020 Commerce Dr
West Melbourne, FL 32904-2335
Phone (321) 952-6000

400 E Sheridan Rd
Melbourne, FL 32901-3122
Phone (321) 722-5200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
Circles of Care, Inc. Mental Health (Including Community Mental Health Center) CurrentSince Apr 3, 2015 Accepting new patients
Circles of Care, Inc. CurrentSince Mar 6, 2022 Accepting new patients
Moore Medical Group Inc CurrentSince Nov 29, 2024 Accepting new patients
Circles of Care, Inc. Mental Health (Including Community Mental Health Center) CurrentSince Apr 3, 2015 Accepting new patients

Locations

400 Sheridan Rd
Melbourne, FL 32901
Phone (321) 722-5273

880 Dr Martin Luther King Jr Blvd
Melbourne, FL 32901
Phone (321) 722-0630

2020 Commerce Dr
West Melbourne, FL 32904
Phone (321) 952-6000

Organizations & group practices 4

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": "1372118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1952741845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 EAST SHERIDAN RD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013122",
            "telephone_number": "321-952-6000",
            "fax_number": "321-952-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 COMMERCE DR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329042335",
            "telephone_number": "321-952-6000",
            "fax_number": "321-952-6010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "880 Dr Martin Luther King Jr Blvd",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329012909",
            "country_code": "US",
            "telephone_number": "321-722-5200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FISH",
        "first_name": "STEPHANIE",
        "middle_name": "DEAN",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC, MSN, ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-25",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "FL",
            "license": "ARNP2925952",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "ARNP2925952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.