Dr Stephen Edward Nassar, PSYD, LCSW | |
3684 N Wickham Rd, Suite B, Melbourne, FL 32935-2328 | |
(321) 751-3636 | |
(321) 751-8108 |
Full Name | Dr Stephen Edward Nassar |
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Gender | Male |
Speciality | Psychologist |
Location | 3684 N Wickham Rd, Melbourne, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790703973 | NPI | - | NPPES |
134222541 | Other | FL | TRICARE PROVIDER NUMBER |
54815 | Other | FL | BCBS PROVIDER NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | PY6228 (Florida) | Primary |
1041C0700X | Social Worker - Clinical | SW3802 (Florida) | Secondary |
Entity Name | Stephen E Nassar Psy D Lcsw P A |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659305571 PECOS PAC ID: 7618902370 Enrollment ID: O20050930000419 |
Mailing Address | Practice Location Address |
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Dr Stephen Edward Nassar, PSYD, LCSW 3684 N Wickham Rd, Suite B, Melbourne, FL 32935-2328 Ph: (321) 751-3636 | Dr Stephen Edward Nassar, PSYD, LCSW 3684 N Wickham Rd, Suite B, Melbourne, FL 32935-2328 Ph: (321) 751-3636 |
Chad Breznay, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 2120 Sarno Rd, Melbourne, FL 32935 Phone: 321-241-6800 Fax: 321-241-6888 | |
Sheila Ponce, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2020 Commerce Dr, Melbourne, FL 32904 Phone: 321-952-6000 | |
Dr. Krista Puente Trefz, PSY,D, Psychologist Medicare: Accepting Medicare Assignments Practice Location: 400 E Sheridan Rd, Melbourne, FL 32901 Phone: 321-242-3110 Fax: 321-242-7464 | |
Dr. Camellia Ann Westwell, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2900 Veterans Way, Melbourne, FL 32940 Phone: 321-637-3788 | |
Kristopher J Olsen, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 6767 N Wickham Rd, Suite 306, Melbourne, FL 32940 Phone: 321-751-1925 Fax: 321-751-9261 | |
Jeffrey Michael Williamson, PH D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3700 N Harbor City Blvd, Ste 1d, Melbourne, FL 32935 Phone: 321-610-4703 Fax: 321-622-5948 | |
Dr. Wanda Louise Bethea, Psychologist Medicare: Medicare Enrolled Practice Location: 405 E Strawbridge Ave, Melbourne, FL 32901 Phone: 321-724-6177 |