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STEPHANIE CARLSON PSYCHOLOGIST
NPI 1508977950
Psychologist - Clinical in Bronx, NY

Active since August 31, 2006Opted out of Medicare · through Aug 20, 2026
5676 RIVERDALE AVE, STE. 202, BRONX, NY 10471(718) 796-5300 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stephanie Carlson Psychologist NPPES

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

STEPHANIE CARLSON PSYCHOLOGIST (NPI 1508977950) is an individual clinical provider in Bronx, New York, licensed in New York (010343-1) and active in the NPI registry since August 2006. She has opted out of Medicare through August 20, 2026.

NPPES Registry Identity

NPI1508977950
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameSTEPHANIE CARLSONCredential: PSYCHOLOGIST
Location Address5676 RIVERDALE AVE, STE. 202Bronx, NY 10471-2138
Mailing Address5676 Riverdale Ave, Ste. 202Bronx, NY 10471-2138 · (718) 796-5300
Phone(718) 796-5300
Sole ProprietorNo
Enumeration DateAugust 31, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1508977950 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 NY · 010343-1
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.
5676 RIVERDALE AVE, Bronx, NY 10471
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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 Carlson Psychologist 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 20, 2024 through August 20, 2026.

Opt-Out Effective DateAugust 20, 2024
Opt-Out In Effect ThroughAugust 20, 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.

NIVEA C. OCASIO
Counselor
5676 RIVERDALE AVE, STE 202
BRONX, NY 10471
Bronx County (718) 796-5300
MS. JILLIAN LEVY LCSW
Social Worker (Clinical)
5676 RIVERDALE AVE, STE 202
BRONX, NY 10471
Bronx County (718) 796-5300
CATHERINE VERANO
Social Worker (Clinical)
5676 RIVERDALE AVE
BRONX, NY 10471
Bronx County (718) 796-6300
MARGARET SEAMAN MSW
Social Worker
5676 RIVERDALE AVE, SUITE 202
BRONX, NY 10471
Bronx County (718) 796-5300
PAUL J HERON LCSW
Social Worker
5676 RIVERDALE AVE
BRONX, NY 10471
Bronx County (718) 796-5300
MAYRA L ESTRADA LCSW
Social Worker (Clinical)
5676 RIVERDALE AVE, STE. 202
BRONX, NY 10471
Bronx County (718) 796-5300
SELINA HERNANDEZ
Counselor
5676 RIVERDALE AVE, 202
BRONX, NY 10471
Bronx County (718) 796-5300
JESSICA E. BERNSTEIN
Counselor
5676 RIVERDALE AVE, STE 202
BRONX, NY 10471
Bronx County (718) 796-5300

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 Carlson's NPI number?

The NPI number for Stephanie Carlson is 1508977950. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Stephanie Carlson located?

Stephanie Carlson practices at 5676 Riverdale Ave Ste. 202, Bronx, NY 10471. The listed phone number is (718) 796-5300.

What is Stephanie Carlson's specialty?

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

Is Stephanie Carlson enrolled in Medicare?

No. Stephanie Carlson has opted out of Medicare through August 20, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Stephanie Carlson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.