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STEFANIE MARY IWANCIW PSYD
NPI 1003484635
Psychologist - Clinical in Glen Oaks, NY

Active since June 10, 2021Opted out of Medicare · through Aug 15, 2026
7559 263RD ST, GLEN OAKS, NY 11004(718) 470-8060 Get Directions Write a Review

NPPES record last updated: July 14, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 14, 2021, Jun 21, 2021, Jun 10, 2021 (3 updates tracked since 2021).

About Stefanie Mary Iwanciw Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEFANIE MARY IWANCIW PSYD (NPI 1003484635) is an individual clinical provider in Glen Oaks, New York, licensed in New York (024406) and active in the NPI registry since June 2021. She has opted out of Medicare through August 15, 2026.

NPPES Registry Identity

NPI1003484635
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameSTEFANIE MARY IWANCIWCredential: PSYD
Location Address7559 263RD STGlen Oaks, NY 11004-1150
Mailing Address7559 263rd StGlen Oaks, NY 11004-1150
Phone(718) 470-8060
Sole ProprietorNo
Enumeration DateJune 10, 2021
Last NPPES UpdateJuly 14, 20213 updates tracked since enumeration
NPPES CertifiedJuly 14, 2021
✔ NPI 1003484635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in NY · 024406
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedPsychologistTaxonomy 103T00000X
7559 263RD ST, Glen Oaks, NY 11004
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Stefanie Mary Iwanciw Psyd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 15, 2022 through August 15, 2026.

Opt-Out Effective DateAugust 15, 2022
Opt-Out In Effect ThroughAugust 15, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AVRELIYA SHAPIRO M.D.
Psychiatry & Neurology (Psychiatry)
7559 263RD ST
GLEN OAKS, NY 11004
Queens County (718) 470-8005
JEFFREY GOLTZ MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
7559 263RD ST
GLEN OAKS, NY 11004
Queens County (718) 470-5744
JASON YAN M.D.
Psychiatry & Neurology (Psychiatry)
7559 263RD ST
GLEN OAKS, NY 11004
Queens County (718) 470-5730
VICTOR PELUMI KEKERE MD
Psychiatry & Neurology (Psychiatry)
7559 263RD ST
GLEN OAKS, NY 11004
Queens County (718) 470-8100
STEPHANIE ILENE SOLOW PSYD
Psychiatry & Neurology (Psychiatry)
7559 263RD ST
GLEN OAKS, NY 11004
Queens County (718) 470-8011
DR. DELBERT GAIL ROBINSON M.D.
Psychiatry & Neurology (Psychiatry)
7559 263RD ST
GLEN OAKS, NY 11004
Queens County (718) 470-8195
DR. SABINA FINK M.D.
Psychiatry & Neurology (Addiction Medicine)
7559 263RD ST
GLEN OAKS, NY 11004
Queens County (516) 742-4015
DR. ANASTASIA KRIVKO M.D.
Psychiatry & Neurology (Psychiatry)
7559 263RD ST
GLEN OAKS, NY 11004
Queens County (718) 470-3539

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stefanie Iwanciw's NPI number?

The NPI number for Stefanie Iwanciw is 1003484635. It was assigned to this individual provider in the NPPES registry on June 10, 2021.

Where is Stefanie Iwanciw located?

Stefanie Iwanciw practices at 7559 263rd St, Glen Oaks, NY 11004. The listed phone number is (718) 470-8060.

What is Stefanie Iwanciw's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Stefanie Iwanciw enrolled in Medicare?

No. Stefanie Iwanciw has opted out of Medicare through August 15, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Stefanie Iwanciw accept?

Health plans from Providence Health Plan list Stefanie Iwanciw as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stefanie Iwanciw was last updated on July 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.