COASTAL NEUROPSYCHOLOGY, LLC (NPI# 1871956805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871956805 |
| Entity Type | Organization |
| Organization Name | COASTAL NEUROPSYCHOLOGY, LLC |
| Practice Address |
1700 N Mcmullen Booth Rd Ste C1 Clearwater FL 33759 |
| Mailing Address |
1700 N Mcmullen Booth Rd Ste C1 Clearwater FL 33759-2129 |
| Practice Telephone | 7273001938 |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2019-07-28 |
| Authorized Official Name | DR. STEFANIE COPPES (OWNER) |
| Authorized Official Telephone | 8006871938 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
PY8604 | FL | Behavioral Health & Social Service Providers |
| N | 103TS0200X |
Psychologist Specialization: School |
PY8604 | FL | Behavioral Health & Social Service Providers |
| N | 103TE1100X |
Psychologist Specialization: Exercise & Sports |
PY8604 | FL | Behavioral Health & Social Service Providers |
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
PY8604 | FL | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
PY8604 | FL | Behavioral Health & Social Service Providers |
| N | 103TF0000X |
Psychologist Specialization: Family |
PY8604 | FL | Behavioral Health & Social Service Providers |
| N | 103TC1900X |
Psychologist Specialization: Counseling |
PY8604 | FL | Behavioral Health & Social Service Providers |
| Y | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers |
| Street Address |
1700 N MCMULLEN BOOTH RD STE C1 |
| City | CLEARWATER |
| State | FL |
| Zip Code | 33759 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487886164 | Christina D Brown | Psychologist | 1700 N Mcmullen Booth Rd Ste C1, Clearwater, FL 33759 | 2009-08-14 |
| 1114528676 | Jane Adams | Psychologist | 1700 N Mcmullen Booth Rd Ste C1, Clearwater, FL 33759-2129 | 2020-11-02 |
| 1700346632 | Katie Merricks Counseling, LLC | Psychologist | 1700 N Mcmullen Booth Rd Ste C1, Clearwater, FL 33759-2129 | 2019-03-25 |
| 1013467919 | Jennifer Thibodeaux | Psychologist | 1700 N Mcmullen Booth Rd Ste C1, Clearwater, FL 33759 | 2016-10-04 |
| 1902259740 | Katie Merricks | Counselor | 1700 N Mcmullen Booth Rd Ste C1, Clearwater, FL 33759-2129 | 2016-07-17 |
| 1093189649 | Colleen Mocco Crooms | Psychologist | 1700 N Mcmullen Booth Rd Ste C1, Clearwater, FL 33759-2129 | 2015-11-19 |
| 1093065807 | Stefanie J Coppes | Clinical Neuropsychologist | 1700 N Mcmullen Booth Rd Ste C1, Clearwater, FL 33759 | 2012-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487163119 | Neil Hook, O.d. and Associates, P.a. | Optometrist | 2679 Gulf To Bay Blvd # 560-570, Clearwater, FL 33759 | 2017-09-26 |
| 1306366224 | Caitlin Elise Sullivan | Chiropractor | 3000 Gulf To Bay Blvd Ste 201, Clearwater, FL 33759 | 2017-06-21 |
| 1881018851 | Monica Adam | Counselor | 3491 Gandy Blvd., Suite 201, Pinellas Park, FLORIDA 33759 | 2014-02-12 |
| 1174868509 | Red River Rehabilitation | Skilled Nursing Facility | 549 Sky Harbor Dr, Bldg 31, Clearwater, FL 33759 | 2012-12-12 |
| 1336485762 | Red River Rehabilitation | Skilled Nursing Facility | 549 Sky Harbor Drive, Clearwater, FL 33759 | 2012-12-12 |
| 1710245279 | Allison H Aschenbrenner | Physical Therapist | 2790 Gulf To Bay Boulevard, Suite C, Clearwater, FL 33759 | 2012-05-02 |
| 1538454954 | Elizabeth M Smith | Occupational Therapist | 4902 Creekside Drive Suite A, Clearwater, FL 33759 | 2011-06-14 |
| 1548408248 | Len F. Leeb | Counselor | 2641 Harbor Circle, Clearwater, FL 33759 | 2009-02-03 |
| 1750544615 | Dolphin II Diagostics Inc. | Contractor | 1700 N. Mcmullen Booth Rd Unit B-3, Clearwater, FL 33759 | 2008-07-09 |
| 1609063478 | Sun Coast Eye Care Inc | Optometrist | 2451 Mcmullen Booth Rd, Suite 221, Clearwater, FL 33759 | 2007-09-26 |
| Find all providers in zip 33759 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366454019 | Joel J. Epstein | Clinical Neuropsychologist | 587 S Duncan Ave, Clearwater, FL 33756-6256 | 2006-08-12 |
| 1861014078 | Alliance Mental Health Services Inc | Clinical Neuropsychologist | 13575 58th St N Ste 115, Clearwater, FL 33760-3755 | 2020-05-11 |
| 1407372881 | Jennifer N. Travis Seidl | Clinical Neuropsychologist | 430 Morton Plant St Ste 402, Clearwater, FL 33756 | 2017-08-17 |
| 1093065807 | Stefanie J Coppes | Clinical Neuropsychologist | 1700 N Mcmullen Booth Rd Ste C1, Clearwater, FL 33759 | 2012-09-19 |
| 1104180280 | Shannon Marie Barsema | Clinical Neuropsychologist | 430 Morton Plant St, Suite 402, Clearwater, FL 33756-3398 | 2012-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912512831 | Joshua Rooks, Phd, LLC | Clinical Neuropsychologist | 7328 Jacaranda Ln, Miami Lakes, FL 33014-2670 | 2020-09-09 |
| 1457978991 | Renew Psychiatric Care, LLC | Clinical Neuropsychologist | 3170 N Federal Hwy Ste 206b, Lighthouse Point, FL 33064-6720 | 2020-07-01 |
| 1871110460 | Thoughtwise LLC | Clinical Neuropsychologist | 2840 Remington Green Cir Ste 3, Tallahassee, FL 32308-1518 | 2020-06-29 |
| 1093338451 | Krizia Amy Vinck | Clinical Neuropsychologist | 1150 Nw 14th St, Miami, Fl 33136, Miami, FL 33136 | 2020-05-20 |
| 1124667795 | Jennifer Ann Barton | Clinical Neuropsychologist | 3411 Day Ave, Miami, FL 33133-5030 | 2019-12-31 |
| 1952947434 | Dagmar E Nunez | Clinical Neuropsychologist | 1351 Seagrape Cir, Weston, FL 33326-2726 | 2019-11-20 |
| 1821632779 | Joshua Daniel Rooks | Clinical Neuropsychologist | 6520 Miami Lakeway S, Miami Lakes, FL 33014-2747 | 2019-11-04 |
| 1427605088 | Global Wellness LLC | Clinical Neuropsychologist | 1560 Sawgrass Corporate Parkway #447, Sunrise, FL 33323 | 2019-08-19 |
| 1528627882 | Anchor Multispecialty Group | Clinical Neuropsychologist | 850 S Palafox St Unit 103, Pensacola, FL 32502-5983 | 2019-06-11 |
| 1639736473 | Aldrich Chan | Clinical Neuropsychologist | 2601 Sw 37th Ave Ste 703, Coral Gables, FL 33133-2750 | 2019-05-28 |
| Find all providers with the same taxonomy | ||||
| City | CLEARWATER |
| Zip Code | 33759 |
Please comment or provide details below to improve the information on COASTAL NEUROPSYCHOLOGY, LLC.
| 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.