Active NPI
Stephanie G Fine, M.ED., PSY.D.
- Clinical Psychologist
- Blue Bell, PA
National Provider Identifier
1992112270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS017622
- Practice address
- 119 Evergreen CT
Telehealth Only
Blue Bell, PA 19422-2817 - Phone
- (484) 324-8816
- NPI assigned
- Jul 17, 2014
- Sex
- Female
- 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 | PS017622 | PA | Primary |
Addresses
Primary practice location
119 Evergreen CT
Telehealth Only
Blue Bell, PA 19422-2817
Mailing address
119 Evergreen CT
Blue Bell, PA 19422-2817
Phone (215) 680-8375
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jul 1, 2015 through Jul 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS017622 | PA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786752000000",
"number": "1992112270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 EVERGREEN CT",
"city": "BLUE BELL",
"state": "PA",
"postal_code": "194222817",
"telephone_number": "215-680-8375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 EVERGREEN CT",
"address_2": "TELEHEALTH ONLY",
"city": "BLUE BELL",
"state": "PA",
"postal_code": "194222817",
"telephone_number": "484-324-8816"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FINE",
"first_name": "STEPHANIE",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "M.ED., PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-17",
"last_updated": "2026-08-15",
"certification_date": "2026-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS017622",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blue Bell, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2026; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.