Provider Demographics
NPI:1710006572
Name:STEINBERG, RICHARD JULIUS (PHD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:JULIUS
Last Name:STEINBERG
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4800 N FEDERAL HWY STE 203A
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-5176
Mailing Address - Country:US
Mailing Address - Phone:561-393-1439
Mailing Address - Fax:561-393-3149
Practice Address - Street 1:4800 N FEDERAL HWY
Practice Address - Street 2:203A
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-5176
Practice Address - Country:US
Practice Address - Phone:561-393-1439
Practice Address - Fax:561-393-3149
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2009-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY0004652103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL61-98518OtherUNITED BEHAVIORAL HEALTH
NY0061129OtherGHI
MA0005607494OtherAETNA
NY145554OtherVALUE OPTIONS
FL73862OtherBLUE CROSS BLUE SHIELD
MA0005607494OtherAETNA
FL73862Medicare ID - Type UnspecifiedPROVIDER NUMBER