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STEPHEN W. KONCSOL P.A.
NPI 1174820534
Psychologist - Clinical in North Miami Beach, FL

Active since February 22, 2011
1011 IVES DAIRY RD, SUITE 208 BLDG. 2, NORTH MIAMI BEACH, FL 33179(305) 653-0098(305) 654-4412 Get Directions Write a Review

NPPES record last updated: July 11, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Stephen W. Koncsol P.a. NPPES

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

STEPHEN W. KONCSOL P.A. (NPI 1174820534) is a healthcare organization registered as a clinical in North Miami Beach, Florida and active in the NPI registry since February 2011. The organization lists Stephen W. Koncsol, President, as its authorized official.

NPPES Registry Identity

NPI1174820534
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameSTEPHEN W. KONCSOL P.A.
Location Address1011 IVES DAIRY RD, SUITE 208 BLDG. 2North Miami Beach, FL 33179-2536
Mailing Address1011 Ives Dairy Rd, Suite 208 Bldg. 2North Miami Beach, FL 33179-2536 · (305) 653-0098 · Fax (305) 654-4412
Phone(305) 653-0098
Fax(305) 654-4412
Organization SubpartNo
Authorized OfficialStephen W. KoncsolPresident · (305) 653-0098
Enumeration DateFebruary 22, 2011
Last NPPES UpdateJuly 11, 2011
✔ NPI 1174820534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in FL · PY0002754
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.
1011 IVES DAIRY RD, North Miami Beach, FL 33179
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Other Identifiers 1

Medicare UPINR04199FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephen W. Koncsol P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Stephen W. Koncsol P.A., which bills Medicare for the services this clinician delivers.

Clinician (1)

Stephen Koncsol, PH.D.
Clinical Psychologist
NPI 1780694349
134 S DIXIE HWY STE 104
Hallandale Beach, FL 33009
(305) 653-0098
✔ PECOS✔ Accepts Medicare2.5 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Stephen W. Koncsol P.A.'s NPI number?

The NPI number for Stephen W. Koncsol P.A. is 1174820534. It was assigned to this organization in the NPPES registry on February 22, 2011.

Where is Stephen W. Koncsol P.A. located?

Stephen W. Koncsol P.A. is located at 1011 Ives Dairy Rd Suite 208 Bldg. 2, North Miami Beach, FL 33179. The listed phone number is (305) 653-0098.

What is Stephen W. Koncsol P.A.'s specialty?

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

Is Stephen W. Koncsol P.A. enrolled in Medicare?

Yes. Stephen W. Koncsol P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Stephen W. Koncsol P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Stephen W. Koncsol P.A.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Stephen W. Koncsol P.A. was last updated on July 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.