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DR. STEFAN CARL DOMBROWSKI PH.D.
NPI 1962909226
Psychologist - Clinical in Mount Laurel, NJ

Active since April 12, 2018PECOS EnrolledAccepts Medicare Assignment
3804 CHURCH RD, MOUNT LAUREL, NJ 08054(856) 745-6291 Get Directions Write a Review

NPPES record last updated: September 7, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 7, 2024, Sep 28, 2021, Sep 10, 2021 and 1 more (4 updates tracked since 2018).

About Dr. Stefan Carl Dombrowski Ph.d. NPPES

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

DR. STEFAN CARL DOMBROWSKI PH.D. (NPI 1962909226) is an individual clinical provider in Mount Laurel, New Jersey, licensed in New Jersey (35SI00420600) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1962909226
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. STEFAN CARL DOMBROWSKICredential: PH.D.
Location Address3804 CHURCH RDMount Laurel, NJ 08054-1106
Mailing Address6 Roberts DrCherry Hill, NJ 08003-1016 · (856) 745-6291 · Fax (856) 424-7553
Phone(856) 745-6291
Sole ProprietorYes
Medical School CMSOtherGraduated 2000
Enumeration DateApril 12, 2018
Last NPPES UpdateSeptember 7, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 7, 2024
✔ NPI 1962909226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses✔ Licensed in NJ · 35SI00420600✔ Licensed in PA · PS015040
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.
3804 CHURCH RD, Mount Laurel, NJ 08054
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Stefan Carl Dombrowski Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597149898
PECOS Enrollment IDI20220906002639
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.

Medicare Billing Reassignment

Medicare enrollment records show Stefan Dombrowski reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Stefan C. Dombrowski, Ph.D. & Associates, LLC
Same address
Psychologist
3804 CHURCH RD
Mount Laurel, NJ 08054
  • Reassigned Medicare billing, New Jersey enrollment
NPI 1790282192 (856) 745-6291

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08054 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
$185.05 typical visit price
range $61.59 – $185.05
Typical copayment $46.26 (range $15.39 – $46.26)
Most-billed visit code 99205
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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 18

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

DR. MORRIS EHRENBERG PH.D.
Psychologist
3804 CHURCH RD
MOUNT LAUREL, NJ 08054
Burlington County (856) 778-7560
CRAIG W. PEARL, PSY.D., P.C.
Psychologist (Clinical)
3804 CHURCH RD
MOUNT LAUREL, NJ 08054
Burlington County (856) 778-2100
CRAIG W PEARL PSY D
Psychologist (Clinical)
3804 CHURCH RD
MOUNT LAUREL, NJ 08054
Burlington County (856) 778-2100
MARIANNE CLARK PSYD LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
3804 CHURCH RD
MOUNT LAUREL, NJ 08054
Burlington County (862) 219-1125
MARIANNE CLARK PSY.D.
Psychologist (Clinical)
3804 CHURCH RD
MOUNT LAUREL, NJ 08054
Burlington County (862) 219-1125
WILLIAM L. SHINEFIELD
Psychologist (Clinical)
3804 CHURCH RD
MOUNT LAUREL, NJ 08054
Burlington County (609) 744-3393
MR. EDWARD ALBERT STEINMETZ JR. LPC
Counselor (Professional)
3804 CHURCH RD
MOUNT LAUREL, NJ 08054
Burlington County (609) 847-2379
MORRIS EHRENBERG, PHD, LLC
Psychologist
3804 CHURCH RD
MOUNT LAUREL, NJ 08054
Burlington County (856) 778-7560

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 Stefan Dombrowski's NPI number?

The NPI number for Stefan Dombrowski is 1962909226. It was assigned to this individual provider in the NPPES registry on April 12, 2018.

Where is Stefan Dombrowski located?

Stefan Dombrowski practices at 3804 Church Rd, Mount Laurel, NJ 08054. The listed phone number is (856) 745-6291.

What is Stefan Dombrowski's specialty?

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

Is Stefan Dombrowski enrolled in Medicare?

Yes. Stefan Dombrowski is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Stefan Dombrowski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stefan Dombrowski reassigns Medicare benefits to Stefan C. Dombrowski, Ph.D. & Associates, LLC (Mount Laurel, NJ). The 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 Stefan Dombrowski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stefan Dombrowski accept?

Health plans from Oscar Health list Stefan Dombrowski 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 Stefan Dombrowski was last updated on September 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.