Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Stephanie Thadal

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1235989393

Mrs. Stephanie Thadal is a Nurse Practitioner in Port Saint Lucie, Florida. Qualified in 2023, 3 years ago. Practices with Thrive Behavioral Sciences- Orlando LLC, a 35-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and New York.

Years since qualifying
3
Licensed in
FL, NY
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

1555 NW Saint Lucie West Blvd
Port Saint Lucie, FL 34986-1758
Phone: (772) 303-1148
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 13101 40th Rd Apt 15c, Flushing, NY 11354-5245 — (954) 417-5985

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 11031757 (FL)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 406512 (NY)

Record details

NPI number1235989393
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 22, 2024
Last updated in NPPESMay 4, 2026
Certification dateMay 4, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Thrive Behavioral Sciences- Orlando Llc — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Port Saint Lucie