Dr. Stacy Beach, PsyD
Psychologist, Clinical in Brooklyn, NY. Individual provider (NPI-1).
NPI number1164057873
StatusActive
Last updated in NPPESJan 31, 2024
Details
- NPI
- 1164057873
- Entity type
- Individual (NPI-1)
- Name
- Dr. Stacy Beach
- Credential
- PsyD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 3, 2020
- Certification date
- Jan 31, 2024
- Last updated
- Jan 31, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 026291 | NY | Yes |
Practice location
26 Court StBrooklyn, NY 11242-0103
Phone 908-340-0488
Mailing address
26 Court StBrooklyn, NY 11242-0103
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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