Organization Active NPI

Frank J Stoll, PH.D., LLC

  • Clinical Psychologist
  • West Hartford, CT
National Provider Identifier
1376004481
Registry record updated Mar 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
FRANK J STOLL, PH.D., LLC
Doing business as
Frank J Stoll, Ph.D., LLC
Practice address
18 N Main St FL 3
West Hartford, CT 06107-1970
Phone
(860) 561-1662
Fax
(860) 561-1723
NPI assigned
Mar 29, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2019

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

Authorized official

Name
Dr. Frank J Stoll, PH.D.NPI 1568493518
Title
Owner
Phone
(860) 561-1662

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

18 N Main St FL 3
West Hartford, CT 06107-1970

Mailing address

18 N Main St FL 3
West Hartford, CT 06107-1970
Phone (860) 561-1662

Other names 1

  • Frank J Stoll, Ph.D., LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190805002250 CT Part B Supplier - Clinic/Group Practice 0446587034 Receives reassigned benefits from 1 practitioner
Practice locations: West Hartford, CT

National Provider Directory

National Provider Directory

Locations

18 N Main St
West Hartford, CT 06107
Phone (860) 561-1662

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1553817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553817600000",
    "number": "1376004481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 N MAIN ST FL 3",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061071970",
            "telephone_number": "860-561-1662",
            "fax_number": "860-561-1723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 N MAIN ST FL 3",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061071970",
            "telephone_number": "860-561-1662",
            "fax_number": "860-561-1723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANK J STOLL, PH.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-29",
        "last_updated": "2019-03-29",
        "status": "A",
        "authorized_official_last_name": "STOLL",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-561-1662",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Frank J Stoll, Ph.D., LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.