IndividualActive
Matthew Stefonetti, PSYD
NPI 1376280792 · Clinical Psychologist · Bath, NY
Provider details
- NPI number
- 1376280792
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PSYD
- Sex
- Male
- Sole proprietor
- No
- License
- PS019577 (PA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
76 Veterans Ave
Bath, NY 14810-0810
Phone: (607) 664-4000
Approximate (ZIP-level) locationGet directions
Mailing address
1073 Sing Sing Rd Apt E5
Horseheads, NY 14845-1394
Registry dates
- Enumerated
- 2022-05-17
- Last updated
- 2022-05-17
- Certified
- 2022-05-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.