Individual provider Active NPI

Michael Ryan Stoyer

  • Psychologist
  • Orlando, FL
National Provider Identifier
1366914285
Registry record updated Dec 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY10275 Issued in FL
Practice address
4111 Pictor LN Ste 203
Orlando, FL 32816-8032
Phone
(407) 823-5217
NPI assigned
Dec 18, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY10275 FL Primary

Addresses

Primary practice location

4111 Pictor LN Ste 203
Orlando, FL 32816-8032

Mailing address

903 Lake Lily Dr Apt A225
Maitland, FL 32751-7613
Phone (814) 673-0674

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

LicenseStateTypeSpecialty
PY10275FLMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1545091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545091200000",
    "number": "1366914285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 LAKE LILY DR APT A225",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517613",
            "telephone_number": "814-673-0674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 PICTOR LN STE 203",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328168032",
            "telephone_number": "407-823-5217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOYER",
        "first_name": "MICHAEL",
        "middle_name": "RYAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-18",
        "last_updated": "2018-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY10275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.