Active NPI
Rick Stutzman, PH.D.
- Psychologist
- Mount Vernon, OH
National Provider Identifier
1205208014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3957
- Practice address
- 300 Newark Rd
Mount Vernon, OH 43050-4510 - Phone
- (740) 397-7422
- NPI assigned
- Oct 21, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 3957 | OH | Primary |
Addresses
Primary practice location
300 Newark Rd
Mount Vernon, OH 43050-4510
Mailing address
300 Newark Rd
Mount Vernon, OH 43050-4510
Phone (740) 397-7422
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3957 | OH | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mount Vernon City Schools | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Local Education Agency (LEA)
- Mount Vernon, OH
- NPI 1659667988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445385600000",
"number": "1205208014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 NEWARK RD",
"city": "MOUNT VERNON",
"state": "OH",
"postal_code": "430504510",
"telephone_number": "740-397-7422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 NEWARK RD",
"city": "MOUNT VERNON",
"state": "OH",
"postal_code": "430504510",
"telephone_number": "740-397-7422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUTZMAN",
"first_name": "RICK",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-10-21",
"last_updated": "2015-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OH",
"license": "3957",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Vernon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.