DR. CLINT C STANKIEWICZ PSY.D., MCPC
NPI 1518254705
Health and Wellness Coach in Clinton, NJ

Active since July 07, 2011Opted out of Medicare · through Apr 1, 2028
90 BEAVER AVE, CLINTON, NJ 08809(610) 390-5009 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 2, 2026, Aug 22, 2018, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Dr. Clint C Stankiewicz Psy.d., Mcpc NPPES

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

DR. CLINT C STANKIEWICZ PSY.D., MCPC (NPI 1518254705) is an individual health and wellness coach provider in Clinton, New Jersey and active in the NPI registry since July 2011. He has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1518254705
Entity TypeIndividualMale
Primary Taxonomy171400000X
Provider Legal NameDR. CLINT C STANKIEWICZCredential: PSY.D., MCPC
Location Address90 BEAVER AVEClinton, NJ 08809-1017
Mailing Address90 Beaver AveClinton, NJ 08809-1017 · (908) 549-6857
Sole ProprietorYes
Enumeration DateJuly 7, 2011
Last NPPES UpdateJune 2, 20264 updates tracked since enumeration
NPPES CertifiedJune 2, 2026
NPI 1518254705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyHealth and Wellness CoachOther Service Providers
Taxonomy Code171400000X
Definition
The Health & Wellness Coach is trained in motivational theories, strategies, and communication techniques, which are used to assist patients to develop intrinsic motivation and obtain skills to create sustainable change for improved health and well-being. Health and wellness coaching is a patient-centered approach wherein patients at least partially determine their goals, use self-discovery or active learning processes together with content education to work toward their goals, and self-monitor behaviors to increase accountability, all within the context of an interpersonal relationship with a coach.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCounselor · PastoralTaxonomy 101YP1600X
90 BEAVER AVE, Clinton, NJ 08809

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Clint C Stankiewicz Psy.d., Mcpc 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 April 1, 2020 through April 1, 2028.

Opt-Out Effective DateApril 1, 2020
Opt-Out In Effect ThroughApril 1, 2028Opt-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 5

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

Chiropractor
90 BEAVER AVE
CLINTON, NJ 08809
Chiropractor
90 BEAVER AVE
CLINTON, NJ 08809
Psychologist (Clinical)
90 BEAVER AVE
CLINTON, NJ 08809
Psychologist (Clinical)
90 BEAVER AVE
CLINTON, NJ 08809
Chiropractor
90 BEAVER AVE, SUITE 201
CLINTON, NJ 08809

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 Clint Stankiewicz's NPI number?

The NPI number for Clint Stankiewicz is 1518254705. It was assigned to this individual provider in the NPPES registry on July 7, 2011.

Where is Clint Stankiewicz located?

Clint Stankiewicz practices at 90 Beaver Ave, Clinton, NJ 08809. The listed phone number is (610) 390-5009.

What is Clint Stankiewicz's specialty?

The primary specialty registered for this NPI is Health and Wellness Coach with taxonomy code 171400000X.

Is Clint Stankiewicz enrolled in Medicare?

No. Clint Stankiewicz has opted out of Medicare through April 1, 2028. 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 Clint Stankiewicz was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.