Emilie Stuber, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

05269 Issued in MD

Practice address

5116 Dorsey Hall Dr
Ellicott City, MD 21042-7871

Phone

(410) 995-8274

NPI assigned

Mar 28, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 1, 2018 through Apr 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Howard County Psychological Services, LLC

  • Clinical Psychologist
  • Ellicott City, MD
  • NPI 1194276279
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490659200000",
    "number": "1245762475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5116 DORSEY HALL DR",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210427871",
            "telephone_number": "410-995-8274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5116 DORSEY HALL DR",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210427871",
            "telephone_number": "410-995-8274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUBER",
        "first_name": "EMILIE",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-28",
        "last_updated": "2017-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "05269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anita Fredette Stewart-Wells, LPN
• Maria Stewart, LMSW
• Nancy Stivers
• Lillian Streaker, LGPAT
• Matthew James Stuart, PT
• Maureen Joyce Aviguetero Subiate, PT
• Jinyu Sun, D.D.S
• Rongjuan Sun, L.AC.
• Sunbloom Tech Inc
• Udaya Bhaskara Rao Sunkara, MD

• Clinical Psychologist in Ellicott City, MD
• Providers in Ellicott City, MD by specialty
• Clinical Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.