Healthcare Provider Details

I. General information

NPI: 1659157808
Provider Name (Legal Business Name): STEPHEN FOX PSY.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/05/2023
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32 COURT ST STE 808
BROOKLYN NY
11201-4440
US

IV. Provider business mailing address

32 COURT ST STE 808
BROOKLYN NY
11201-4440
US

V. Phone/Fax

Practice location:
  • Phone: 888-255-7040
  • Fax:
Mailing address:
  • Phone: 888-255-7040
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number027488
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: