Active NPI
Nicole A. Stoughton, PSY.D.
- Psychologist
- Bethesda, MD
National Provider Identifier
1134547094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY 1458
- Practice address
- Walter Reed National Military Medical Center
8901 Rockville Pike, Building 85T
Bethesda, MD 20889 - Phone
- (301) 400-2110
- NPI assigned
- Mar 28, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1458 | HI | |
| Psychologist | 103T00000X | PSY 1458 | HI | Primary |
Addresses
Primary practice location
Walter Reed National Military Medical Center
8901 Rockville Pike, Building 85T
Bethesda, MD 20889
Mailing address
Walter Reed National Military Medical Center
8901 Rockville Pike, Building 85T
Bethesda, MD 20889
Phone (301) 400-2110
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 1458 | HI | MD | Psychologist |
| 1458 | HI | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712016000000",
"number": "1134547094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "WALTER REED NATIONAL MILITARY MEDICAL CENTER",
"address_2": "8901 ROCKVILLE PIKE, BUILDING 85T",
"city": "BETHESDA",
"state": "MD",
"postal_code": "20889",
"telephone_number": "301-400-2110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "WALTER REED NATIONAL MILITARY MEDICAL CENTER",
"address_2": "8901 ROCKVILLE PIKE, BUILDING 85T",
"city": "BETHESDA",
"state": "MD",
"postal_code": "20889",
"telephone_number": "301-400-2110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOUGHTON",
"first_name": "NICOLE",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-28",
"last_updated": "2024-04-02",
"certification_date": "2022-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "HI",
"license": "1458",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "HI",
"license": "PSY 1458",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.