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

Q: 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.

Q: What is Stefan Dombrowski'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 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 23 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.

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: August 09, 2026.

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

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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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Medicare Participation & PECOS CMS

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

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.

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