Healthcare Provider Details

I. General information

NPI: 1366454019
Provider Name (Legal Business Name): JOEL J. EPSTEIN PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/12/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

587 S DUNCAN AVE
CLEARWATER FL
33756-6256
US

IV. Provider business mailing address

1480 GULF BLVD #502
CLEARWATER FL
33767-2876
US

V. Phone/Fax

Practice location:
  • Phone: 727-796-4623
  • Fax: 727-466-0818
Mailing address:
  • Phone: 727-596-1346
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPY3549
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License NumberPY3549
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPY3549
License Number StateFL
# 4
Primary TaxonomyY
Taxonomy Code103TF0200X
TaxonomyForensic Psychologist
License NumberPY3549
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: