DR. STEPHEN KOPETSKIE (NPI# 1336206739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336206739 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN KOPETSKIE |
| Credential | PH.D. |
| Practice Address |
1750 17th St Building C Sarasota FL 34234-8632 |
| Mailing Address |
5692 Bentgrass Dr #211 Sarasota FL 34235-7641 |
| Practice Telephone | 9419530000 |
| Mailing Telephone | 9413410772 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY 7095 | FL | Behavioral Health & Social Service Providers |
| Street Address |
1750 17TH ST BUILDING C |
| City | SARASOTA |
| State | FL |
| Zip Code | 34234-8632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093789836 | Phillip Jay Brooks | Counselor | 1750 17th St, Bldg J-2, Sarasota, FL 34234-8632 | 2006-02-16 |
| 1265088447 | Leah Danielle Abramoff | Social Worker | 1750 17th St, Sarasota, FL 34234-8632 | 2019-08-14 |
| 1730552241 | Krystal Suzanne Frazier | Counselor | 1750 17th St, Sarasota, FL 34234-8632 | 2015-11-05 |
| 1295125292 | Crissa Ann Harman | Counselor | 1750 17th St, Sarasota, FL 34234-8632 | 2015-01-28 |
| 1013324235 | Florida Department of Health Childrens Health Center | Pharmacy | 1750 17th St, Bldg E, Sarasota, FL 34234-8632 | 2014-07-21 |
| 1144646555 | Michelle Rosell | Community Health Worker | 1750 17th St, Sarasota, FL 34234-8632 | 2014-03-10 |
| 1245656651 | Annette Bolton | Community Health Worker | 1750 17th St, Sarasota, FL 34234-8632 | 2014-03-10 |
| 1902134091 | Darra S Moore | Registered Nurse | 1750 17th St, Sarasota, FL 34234-8632 | 2009-12-01 |
| 1396963294 | Amanda Shanks Mcconnell | Social Worker | 1750 17th St, Suite J-2, Sarasota, FL 34234-8632 | 2007-04-23 |
| 1205943065 | David Allen Clapp | Counselor | 1750 17th St, Sarasota, FL 34234-8632 | 2006-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447797519 | Yen Le | Family Medicine | 1750 17th Street Building E Sally and Sam, Shapiro Babies and Children Medical Center, Sarasota, FL 34234 | 2017-01-26 |
| 1831546027 | Monica Perry | Counselor | 1700 Independence Blvd Suite 100, Sarasota, FL 34234 | 2016-05-18 |
| 1639562523 | Marylou Caldwell | Social Worker | 1750 17th Street, Sarasota, FL 34234 | 2015-03-17 |
| 1265853337 | Comfort Iv Therapy | Pharmacy | 1800 Northgate Blvd, Suite A7, Sarasota, FL 34234 | 2013-12-17 |
| 1346687043 | Joel Alan Bernstein | Counselor | 1500 Independence Blvd. Suite 100, Family Preservation Services,inc, Sarasota, FL 34234 | 2013-06-04 |
| 1285911479 | Gina Sauer | Social Worker | 1748 Independence Blvd Suite D-1, Sarasota, FL 34234 | 2011-11-16 |
| 1982811279 | Miles C. Douglas | Occupational Therapy Assistant | 1855 Sanford Cir., Sarasota, FL 34234 | 2007-05-17 |
| 1518185503 | Debao Ye | Acupuncturist | 3808 North Tamiami Trail, Sarasota, FL 34234 | 2007-04-23 |
| 1053457655 | Sonja M. O'flynn | Nurse Practitioner | 2223 N Washington Blvd, Genesis Health Services, Inc, Sarasota, FL 34234 | 2007-01-30 |
| 1245326057 | Virginia Munson Reynolds | Counselor | 1750 17th. St., Sarasota, FL 34234 | 2006-10-05 |
| Find all providers in zip 34234 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821477944 | William Siff | Psychologist | 1255 N Gulfstream Ave Apt 604, Sarasota, FL 34236-8927 | 2015-05-21 |
| 1396140489 | Baird Psychology Services, LLC | Psychologist | 2831 Ringling Blvd Ste 207c, Sarasota, FL 34237-5351 | 2014-10-31 |
| 1790198463 | Mickaella Moreta Corp | Psychologist | 2401 University Pkwy Bldg 1, Suite 203, Sarasota, FL 34243-2893 | 2014-06-10 |
| 1205155900 | John Samuel Kleinbaum | Psychologist | 7414 Linden Ln, Sarasota, FL 34243-5129 | 2010-05-20 |
| 1023269941 | Amy L Hoffman | Psychologist | 2844 Proctor Rd, Suite 3, Sarasota, FL 34231-6424 | 2008-10-09 |
| 1235326067 | Valeria Lynette Moore | Psychologist | 200 Herons Run Dr Apt 219, Sarasota, FL 34232-1760 | 2007-09-25 |
| 1962526780 | Marvin Keith Hendon | Psychologist | 240 North Washington Boulevard, 308, Sarasota, FL 34236 | 2007-03-19 |
| 1821129479 | Deborah Huntley | Psychologist | 4576 Ascot Cir S, Sarasota, FL 34235-3612 | 2007-03-07 |
| 1639204647 | Jessie Williams | Psychologist | 1221 S Tamiami Trl, Sarasota, FL 34239-2208 | 2007-02-22 |
| 1295892768 | Tara Michele Files-hall | Psychologist | 6977 Professional Parkway East, Sarasota, FL 34240-8411 | 2007-01-03 |
| Find all providers in SARASOTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.