DR. STACY LAINE PIKE PSY.D.
NPI 1205532793
Psychologist - Clinical in Jacksonville, FL

Q: What is Stacy Pike's NPI number?

The NPI number for Stacy Pike is 1205532793. It was assigned to this individual provider in the NPPES registry on February 6, 2023.

Q: What is Stacy Pike's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Stacy Pike was last updated on March 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since February 06, 2023PECOS Enrolled

12574 FLAGLER CENTER BLVD STE 101, JACKSONVILLE, FL 32258(904) 325-9276 Get Directions Write a Review

NPPES record last updated: March 29, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 29, 2023, Mar 8, 2023, Feb 6, 2023 (3 updates tracked since 2023).

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About Dr. Stacy Laine Pike Psy.d. NPPES

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

DR. STACY LAINE PIKE PSY.D. (NPI 1205532793) is an individual clinical provider in Jacksonville, Florida, licensed in Florida (PY11498) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205532793

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. STACY LAINE PIKECredential: PSY.D.

Location Address12574 FLAGLER CENTER BLVD STE 101Jacksonville, FL 32258-2615

Mailing Address12574 Flagler Center Blvd Ste 101Jacksonville, FL 32258-2615

Phone(904) 325-9276

Sole ProprietorYes

Enumeration DateFebruary 6, 2023

Last NPPES UpdateMarch 29, 20233 updates tracked since enumeration

NPPES CertifiedMarch 29, 2023

✔ NPI 1205532793 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 · PY11498

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.

12574 FLAGLER CENTER BLVD STE 101, Jacksonville, FL 32258

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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

✔

Enrolled in Medicare (PECOS)

Dr. Stacy Laine Pike Psy.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 30 minutes 90832

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.

385 services78 patients

Psychotherapy, 45 minutes 90834

Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.

95 services29 patients

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

66 services66 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32258 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$171.84 typical visit price

range $56.00 – $171.84

Typical copayment $42.96 (range $14.00 – $42.96)

Most-billed visit code 99205

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

VICTORIA KOZEL NP

Nurse Practitioner (Psychiatric/Mental Health)

12574 FLAGLER CENTER BLVD STE 101
JACKSONVILLE, FL 32258

Duval County (904) 827-3704

HYPERMOBILITY HUB LLC

Nurse Practitioner

12574 FLAGLER CENTER BLVD STE 101
JACKSONVILLE, FL 32258

Duval County (904) 674-8037

DR. ELISA LACONICH, PH.D., PLLC

Clinical Neuropsychologist

12574 FLAGLER CENTER BLVD STE 101
JACKSONVILLE, FL 32258

Duval County (904) 374-4276

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 Stacy Pike's NPI number?

The NPI number for Stacy Pike is 1205532793. It was assigned to this individual provider in the NPPES registry on February 6, 2023.

Where is Stacy Pike located?

Stacy Pike practices at 12574 Flagler Center Blvd Ste 101, Jacksonville, FL 32258. The listed phone number is (904) 325-9276.

What is Stacy Pike's specialty?

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

Is Stacy Pike enrolled in Medicare?

Yes. Stacy Pike is registered in the Medicare PECOS enrollment system.

What insurance does Stacy Pike accept?

Health plans from Providence Health Plan list Stacy Pike 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 Stacy Pike was last updated on March 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.