MRS. STEPHANIE DEAN FISH


Address: 2020 Commerce Dr, Melbourne, FL 32904-2335
Phone: 3219526000

MRS. STEPHANIE DEAN FISH (NPI# 1952741845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1952741845
Entity Type Individual
Full Name MRS. STEPHANIE DEAN FISH
Credential PMHNP-BC, MSN, ARNP
Practice Address 2020 Commerce Dr
Melbourne
FL 32904-2335
Mailing Address 400 Sheridan Rd
Melbourne
FL 32901-3122
Practice Telephone 3219526000
Practice Fax Number 3219526010
Mailing Telephone 3219526000
Mailing Fax Number 3219526010
Enumeration Date 2013-06-25
Last Update Date 2018-03-20
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WP0808X Registered Nurse
Specialization: Psych/Mental Health
RN2925952 FL Nursing Service Providers
N 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities

Other Providers STEPHANIE FISH

NPI Name Taxonomy Address Enumeration
1497853980 Stephanie Mcgowan Fish Speech-Language Pathologist 140 Cabarrus Ave W, Concord, NC 28025-5150 2006-09-20
1568818557 Stephanie Fish Marriage & Family Therapist 3833 Coon Rapids Blvd Nw, Suite 120, Coon Rapids, MN 55433-2643 2016-05-09
1255682225 Stephanie Helaine Fish Social Worker 3297 Washington St, Jamaica Plain, MA 02130-2655 2012-10-01
1770502262 Stephanie A Fish Internal Medicine 3400 Spruce St, 1 Maloney, Philadelphia, PA 19104-4206 2006-07-18

Office Location

Street Address 2020 COMMERCE DR
City MELBOURNE
State FL
Zip Code 32904-2335

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144793407 Kelly Fuller Nurse Practitioner 2020 Commerce Dr, Melbourne, FL 32904-2335 2019-01-09
1164725933 Tanisha Campbell Licensed Practical Nurse 2020 Commerce Dr, Melbourne, FL 32904-2335 2010-12-16
1538362439 David Cyrus Ray Pharmacist 2020 Commerce Dr, Melbourne, FL 32904-2335 2007-06-07
1023141033 Sheila Ponce Psychologist 2020 Commerce Dr, Melbourne, FL 32904-2335 2007-03-13
1598807059 Sarah Tyler Social Worker 2020 Commerce Dr, Melbourne, FL 32904-2335 2007-02-13
1245371160 James Braun Counselor 2020 Commerce Dr, Melbourne, FL 32904-2335 2007-02-12
1285775122 Patti Diane Gibbons Counselor 2020 Commerce Dr, Melbourne, FL 32904-2335 2007-02-12
1295876035 Harry Hillmer Counselor 2020 Commerce Dr, Melbourne, FL 32904-2335 2007-02-12
1558402446 Mary Allen Counselor 2020 Commerce Dr, Melbourne, FL 32904-2335 2007-02-12
1083755995 Joan Becker Counselor 2020 Commerce Dr, Melbourne, FL 32904-2335 2007-02-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063066512 Shepherd's Heart Ministries Counselor 900 S Wickham Rd, Melbourne, FL 32904 2019-08-01
1588138663 Nicholle C Rothengass Physician Assistant 2263 W New Haven Ave # 350, W Melbourne, FL 32904 2019-01-11
1114407020 Natalie Havkin Speech-Language Pathologist 250 S Wickham Rd., Melbourne, FL 32904 2018-08-20
1184119299 Marni B Simon Speech-Language Pathologist 565 Acacia Ave, Melbourne Village, FL 32904 2018-06-30
1821588625 Walden Psychological Services, LLC Psychologist 3400 Willowwood Dr, Melbourne, FL 32904 2018-05-16
1598276271 Donetta Gwin Reynolds Early Intervention Provider Agency 764 Triples Crown Lane, West Melbourne, FL 32904 2017-10-20
1598205221 Marathon Health, LLC General Practice 2550 Wingate Boulevard, C/o Brevard Wellcare- South, West Melbourne, FL 32904 2017-02-28
1366875387 Cancer Center of Melbourne LLC Clinic/Center 415 S. Wickham Rd., Melbourne, FL 32904 2013-08-13
1558704312 Sandra Suzanne Borthwick Social Worker 569 Sylvia Rd, Melbourne, FL 32904 2013-04-11
1396983607 Genesis Skilled Nursing Facility 2653 Reflections Pl, W. Melbourne, FL 32904 2009-01-23
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Taxonomy Information

Taxonomy Code 163WP0808X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255473914 Annette Marriott Registered Nurse 2000 Commerce Dr, Melbourne, FL 32904-2335 2007-02-12
1588706253 Jane Valentine Registered Nurse 2000 Commerce Dr, Melbourne, FL 32904-2335 2007-02-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1669073474 Charmaine A. Byrd Registered Nurse 214 Se Victoria Gln, Lake City, FL 32025-9308 2020-11-06
1447851076 Robert James Dickinson Registered Nurse 303 Ravenswood Dr, Saint Augustine, FL 32084-3047 2020-11-02
1922616275 Tasia Nadine Porter Registered Nurse 652 Ne 121st St, Biscayne Park, FL 33161-5510 2020-07-22
1801421714 Daniel B Wright Np-c Registered Nurse 140 Island Way Unit 127, Clearwater, FL 33767-2216 2020-03-11
1891339099 Shakila Moore Registered Nurse 29910 State Road 56, Wesley Chapel, FL 33543-8800 2019-10-30
1578118113 Kerry Elizabeth Mattos Registered Nurse 5150 Central Sarasota Pkwy Apt 209, Sarasota, FL 34238-7623 2019-08-08
1588122386 Janile Nelson Registered Nurse 1525 Sw Iffla Ave, Port St Lucie, FL 34953-6538 2019-03-11
1780141986 Catherine Elaine Riley Registered Nurse 2130 Hopkins St, Orange Park, FL 32073-5220 2019-02-23
1205301942 Phoenix Rehab Center Corp Registered Nurse 8500 W Flagler St Ste 106, Miami, FL 33144-2063 2018-10-09
1306352570 Nikita L Jenkins Registered Nurse 1410 Ne 219th St, Lawtey, FL 32058-4387 2017-12-22
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Competitor

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City MELBOURNE
Zip Code 32904

Improve Information

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Dataset Information

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.

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