Katherine Ann Stutzman, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810005025 Issued in VA

Practice address

425 W 5TH St FL 6
East Liverpool, OH 43920-2405

Phone

(330) 386-2047

Fax

(330) 386-3282

NPI assigned

Jun 30, 2008

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

Other names 1

• Katherine Ann Wilson Former name

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in OH

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.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

River Valley Physicians LLCGroup PAC ID 3971506932, 56 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: katherine.stutzman@rvp.eclinicaldirectplus.com

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.

• River Valley Physicians, LLC

  • Multi-Specialty Clinic/Center
  • East Liverpool, OH
  • NPI 1891756870
  Medicare reassignment Care Compare group
• Hospice of the Valley, Inc

  • Community Based Hospice Care Agency
  • Villa Maria, PA
  • NPI 1184977209
  NPD (past)
• Openloop Healthcare Partners PC

  • General Practice Physician
  • Des Moines, IA
  • NPI 1245820661
  NPD (past)

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633651200000",
    "number": "1316109440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 645409",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152645252",
            "telephone_number": "330-386-6442",
            "fax_number": "330-386-3660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 W 5TH ST FL 6",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439202405",
            "telephone_number": "330-386-2047",
            "fax_number": "330-386-3282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 W 6th St",
            "address_purpose": "LOCATION",
            "city": "East Liverpool",
            "state": "OH",
            "postal_code": "439202818",
            "country_code": "US",
            "telephone_number": "330-932-3271",
            "fax_number": "330-386-6191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STUTZMAN",
        "first_name": "KATHERINE",
        "middle_name": "ANN",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-30",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810005025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "katherine.stutzman@rvp.eclinicaldirectplus.com",
            "affiliation": "Y",
            "affiliationName": "River Valley Physicians, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "425 W 5th St Fl 6",
            "city": "East Liverpool",
            "state": "OH",
            "country_code": "US",
            "postal_code": "439202405",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "katherine.stutzman@rvp.eclinicaldirectplus.com",
            "affiliation": "Y",
            "affiliationName": "River Valley Physicians, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "205 W 6th St",
            "city": "East Liverpool",
            "state": "OH",
            "country_code": "US",
            "postal_code": "439202818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "WILSON",
            "middle_name": "ANN",
            "credential": "PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Haley Stratton
• James Strohmayer, DO
• Jonte A Stroud
• Mackenzie Sturgeon
• Beth N Stutzman, PSY.D
• Sunil Parulkar MD Urology
• Steven Michael Swain, M.D.
• Lee B Swearingen, DDS
• Mark William Swift, DO
• Robert B. Sylvies, PSY.D

• Clinical Psychologist in East Liverpool, OH
• Providers in East Liverpool, OH by specialty
• Clinical Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; 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.

Verify at the official NPI Registry.