DR. SHANEE STEPAKOFF (PHD) – Poetry Therapist, NPI 1285819805

DR. SHANEE STEPAKOFF (PHD) is a healthcare provider. based in Farmington, Maine. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. 017212 (NY). The NPI Number for DR. SHANEE STEPAKOFF (PHD) is 1285819805

Main info

Female
Sole Proprietor
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. SHANEE STEPAKOFF (PHD)
NPI
1285819805
Phone
(646) 596-6792
Address
110 ELM ST
Enumeration Date
2 January 2008
Last Update Date
25 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2000 (26 years ago)
PAC ID
4981764008
Professional Enrollment ID
I20250821000106
Address ID
AZ852517630Sc4800XRDXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience88
Completeness85
Years active:18State licenses:3Digital endpointsOther names

173 CLINICAL PSYCHOLOGIST in ME

Provider Addresses for DR. SHANEE STEPAKOFF (PHD)

  • 110, Elm Street, Farmington, Dakota County, Minnesota, 55024, United States

    FARMINGTON, ME 049386807

    Phone: (646) 596-6792

    Type: Mailing

  • 16 Lincoln St Ste C

    Brunswick, ME 040111900

    Phone: (603) 883-0005

    Type: Location

  • PO BOX 212

    FARMINGTON, ME 049380212

    Phone: (207) 578-4483

    Type: Mailing

  • 80, 5th Avenue, Greenwich Village, Manhattan Community Board 2, Manhattan, New York County, New York, 10011, United States

    SUITE 1405

    NEW YORK, NY 100118002

    Phone: (646) 596-6792

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-08-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250821000106IClinical PsychologistMETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 04938)

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Reviews

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Frequently asked questions

What is the standard ID for DR. SHANEE STEPAKOFF (PHD) in the U.S.?
In the U.S., DR. SHANEE STEPAKOFF (PHD) is identified by NPI 1285819805.
Quick check: is DR. SHANEE STEPAKOFF (PHD) active?
Public NPPES data shows DR. SHANEE STEPAKOFF (PHD) with an active NPI status right now.
What does the directory say DR. SHANEE STEPAKOFF (PHD) does?
Insurance directories may phrase it differently, but here DR. SHANEE STEPAKOFF (PHD) maps to Poetry Therapist. Clinical services aligned with this taxonomy classification.
Is DR. SHANEE STEPAKOFF (PHD) tied to Farmington, Maine?
If you are local to Farmington, Maine, DR. SHANEE STEPAKOFF (PHD) may be relevant to your search.
Why is information missing for DR. SHANEE STEPAKOFF (PHD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.