Active NPI
Eleanor Elizabeth Stutz, M.D.
- Psychiatry Physician
- Waterbury, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 025915
- Practice address
- 95 Thomaston Ave
Dmhas - Wcmhn
Waterbury, CT 06702-1007 - Phone
- (203) 805-5300
- Fax
- (203) 805-5310
- NPI assigned
- Feb 15, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 025915 | CT | Primary |
Addresses
Primary practice location
95 Thomaston Ave
Dmhas - Wcmhn
Waterbury, CT 06702-1007
Mailing address
95 Thomaston Ave
Dmhas - Wcmhn
Waterbury, CT 06702-1007
Phone (203) 805-5300
Other names 1
- Eleanor Elizabeth Maier
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Geisel School of Medicine at Dartmouth, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1669 Thomaston Ave
Waterbury, CT 06704-1026
Phone (203) 759-3500
Hospital & facility affiliations
- Saint Mary'S Hospital
- Waterbury Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025915 | CT | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Connecticut | Current | Accepting new patients | |
| State of Connecticut | Current | Accepting new patients |
Locations
450 Columbus Blvd
Ste 1001
Hartford, CT 06103
55 W Main St
Ste 410
Waterbury, CT 06702
Phone (203) 805-6408
1669 Thomaston Ave
Waterbury, CT 06704
Phone (203) 759-3599
95 Thomaston Ave
Waterbury, CT 06702
Phone (203) 805-5300
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Adult Mental Health Clinic/Center
- Waterbury, CT
- NPI 1841225489
-
- Skilled Nursing Facility
- Rocky Hill, CT
- NPI 1205951662
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Waterbury, CT
- NPI 1477902641
-
- General Acute Care Hospital
- Waterbury, CT
- NPI 1760426969
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419292800000",
"number": "1043353337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 THOMASTON AVE",
"address_2": "DMHAS - WCMHN",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067021007",
"telephone_number": "203-805-5300",
"fax_number": "203-805-5310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 THOMASTON AVE",
"address_2": "DMHAS - WCMHN",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067021007",
"telephone_number": "203-805-5300",
"fax_number": "203-805-5310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUTZ",
"first_name": "ELEANOR",
"middle_name": "ELIZABETH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-15",
"last_updated": "2014-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CT",
"license": "025915",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELEANOR",
"last_name": "MAIER",
"middle_name": "ELIZABETH",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.