STEPHANIE A ADLER PHD
NPI 1174698369
Psychologist - Health Service in Brookline, MA

Active since November 22, 2006Opted out of Medicare · through Sep 28, 2027
1093 BEACON ST, SUITE 403, BROOKLINE, MA 02446(617) 731-8007 Get Directions Write a Review

NPPES record last updated: April 12, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Stephanie A Adler Phd NPPES

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

STEPHANIE A ADLER PHD (NPI 1174698369) is an individual health service provider in Brookline, Massachusetts, licensed in Massachusetts (2496) and active in the NPI registry since November 2006. She has opted out of Medicare through September 28, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1174698369
Entity TypeIndividualFemale
Primary Taxonomy103TH0100X
Provider Legal NameSTEPHANIE A ADLERCredential: PHD
Location Address1093 BEACON ST, SUITE 403Brookline, MA 02446-5695
Mailing Address213 Jackson StNewton, MA 02459 · (617) 731-8007
Sole ProprietorYes
Enumeration DateNovember 22, 2006
Last NPPES UpdateApril 12, 2011
NPI 1174698369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · Health ServiceBehavioral Health & Social Service Providers
Taxonomy Code103TH0100X
License Licensed in MA · 2496
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 2496 (MA)
1093 BEACON ST, Brookline, MA 02446

Other Names 1

Professional Name (2)Stephanie Adler Ph.d.

Other Identifiers 2

Medicaid0509817MA
Medicare ID-Type UnspecifiedW02631MA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Stephanie A Adler Phd 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 September 28, 2015 through September 28, 2027.

Opt-Out Effective DateSeptember 28, 2015
Opt-Out In Effect ThroughSeptember 28, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

Counselor (Mental Health)
1093 BEACON ST, 304
BROOKLINE, MA 02446
Social Worker (Clinical)
1093 BEACON ST, STE 1A
BROOKLINE, MA 02446
Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)
1093 BEACON ST, SUITE 3C
BROOKLINE, MA 02446
Physical Therapist
1093 BEACON ST, BASEMENT SUITE
BROOKLINE, MA 02446
Psychiatry & Neurology (Psychiatry)
1093 BEACON ST
BROOKLINE, MA 02446
Social Worker (Clinical)
1093 BEACON ST, STE 104
BROOKLINE, MA 02446
Social Worker (Clinical)
1093 BEACON ST, SUITE 1B
BROOKLINE, MA 02446
Psychiatry & Neurology (Psychiatry)
1093 BEACON ST
BROOKLINE, MA 02446

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 Stephanie Adler's NPI number?

The NPI number for Stephanie Adler is 1174698369. It was assigned to this individual provider in the NPPES registry on November 22, 2006. The provider is also known as Stephanie Adler Ph.D..

Where is Stephanie Adler located?

Stephanie Adler practices at 1093 Beacon St Suite 403, Brookline, MA 02446. The listed phone number is (617) 731-8007.

What is Stephanie Adler's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health Service, with taxonomy code 103TH0100X.

Is Stephanie Adler enrolled in Medicare?

No. Stephanie Adler has opted out of Medicare through September 28, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Stephanie Adler was last updated on April 12, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.