Amy Luitjohan Stoffregen, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

7196 Issued in OH

Practice address

1520 Old Henderson Rd Ste 100D
Columbus, OH 43220-3639

Phone

(614) 456-7777

Fax

(614) 547-7868

NPI assigned

Sep 3, 2014

Last updated

Jul 8, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Opted out of Medicare

Yes, effective Apr 1, 2021 through Apr 1, 2027

Medicare enrollment (NPD)

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.

• Bethel Olentangy Psychological Services

  • Clinical Psychologist
  • Columbus, OH
  • NPI 1477003143
  NPD (past)
• M a Orcutt PHD & Associates

  • Clinical Psychologist
  • Columbus, OH
  • NPI 1194894766
  NPD (past)

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

{
    "created_epoch": "1409702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1336549773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 OLD HENDERSON RD STE 100D",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432203639",
            "telephone_number": "614-547-7868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 OLD HENDERSON RD STE 100D",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432203639",
            "telephone_number": "614-456-7777",
            "fax_number": "614-547-7868"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7105 Hamilton Ave",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452315218",
            "country_code": "US",
            "telephone_number": "513-522-0777",
            "fax_number": "513-522-4577",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4949 Olentangy River Rd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432141926",
            "country_code": "US",
            "telephone_number": "614-451-6606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOFFREGEN",
        "first_name": "AMY",
        "middle_name": "LUITJOHAN",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-03",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "7196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zana Stodgel
• Linda Stoer Scaggs, PHD
• Marissa Stoffel, PHARMD
• Tanner Scott Stoffer
• Thomas Michael Stofferahn, CDCA.186361
• Gary Stofle, LISW-S, LICDC
• Nadia Stoilova-Karanfilov, MD
• Margarita Stoimenova
• Ivana Stojkic, MD
• Ashley Stojkov

• Clinical Psychologist in Columbus, OH
• Providers in Columbus, OH by specialty
• Clinical Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.