DR. STEPHEN EDWARD NASSAR PSYD, LCSW
NPI 1790703973
Psychologist in Melbourne, FL

Active since July 17, 2006Opted out of Medicare · through Jul 1, 2027
3684 N WICKHAM RD, SUITE B, MELBOURNE, FL 32935(321) 751-3636(321) 751-8108 Get Directions Write a Review

NPPES record last updated: October 17, 2011. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Stephen Edward Nassar Psyd, Lcsw NPPES

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

DR. STEPHEN EDWARD NASSAR PSYD, LCSW (NPI 1790703973) is an individual psychologist in Melbourne, Florida, licensed in Florida (PY6228) and active in the NPI registry since July 2006. He has opted out of Medicare through July 1, 2027.

NPPES Registry Identity

NPI1790703973
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. STEPHEN EDWARD NASSARCredential: PSYD, LCSW
Location Address3684 N WICKHAM RD, SUITE BMelbourne, FL 32935-2328
Mailing Address3684 N Wickham Rd, Suite BMelbourne, FL 32935-2328 · (321) 751-3636 · Fax (321) 751-8108
Fax(321) 751-8108
Sole ProprietorYes
Enumeration DateJuly 17, 2006
Last NPPES UpdateOctober 17, 2011
NPI 1790703973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in FL · PY6228
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License SW3802 (FL)
3684 N WICKHAM RD, Melbourne, FL 32935

Other Identifiers 3

Medicare ID-Type Unspecified54815ZFL · Medicare Identifier
Other54815FL · Bcbs Provider Number
Other134222541FL · Tricare Provider Number

Accepted Insurance

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. Stephen Edward Nassar Psyd, Lcsw 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 July 1, 2025 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2025
Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Areas of Expertise CMS Part B claims

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, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
52 services11 patients

Other Providers at the Same Location NPPES

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

Psychologist
3684 N WICKHAM RD, SUITE B
MELBOURNE, FL 32935

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 Nassar's NPI number?

The NPI number for Stephen Nassar is 1790703973. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Stephen Nassar located?

Stephen Nassar practices at 3684 N Wickham Rd Suite B, Melbourne, FL 32935. The listed phone number is (321) 751-3636.

What is Stephen Nassar's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Stephen Nassar enrolled in Medicare?

No. Stephen Nassar has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Stephen Nassar accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida, Providence Health Plan and UnitedHealthcare and 1 other insurer list Stephen Nassar 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 Stephen Nassar was last updated on October 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.