Beth N Stutzman, PSY.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

P.O7771 Issued in OH

Practice address

16705 Saint Clair Ave Ste 303
East Liverpool, OH 43920-9470

Phone

(330) 932-1594

Fax

(330) 368-0067

NPI assigned

Apr 28, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: beth.stutzman.p1@direct.sandy.nextgenshare.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.

• Community Action Agency of Columbiana County Inc

  • Federally Qualified Health Center (FQHC)
  • Lisbon, OH
  • NPI 1821041401
  Medicare reassignment NPD
• Community Action Agency of Columbiana County Inc

  • Federally Qualified Health Center (FQHC)
  • Hanoverton, OH
  • NPI 1225914112
  NPD
• Community Action Agency of Columbiana County, Inc

  • Federally Qualified Health Center (FQHC)
  • Salem, OH
  • NPI 1356064414
  NPD (past)

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

{
    "created_epoch": "1398643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563235200000",
    "number": "1386064509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8479 SAINT ANTHONYS RD",
            "city": "KING GEORGE",
            "state": "VA",
            "postal_code": "224853408",
            "telephone_number": "540-775-9879",
            "fax_number": "549-775-3887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16705 SAINT CLAIR AVE STE 303",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439209470",
            "telephone_number": "330-932-1594",
            "fax_number": "330-368-0067"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8479 Saint Anthonys Rd",
            "address_purpose": "LOCATION",
            "city": "King George",
            "state": "VA",
            "postal_code": "224853408",
            "country_code": "US",
            "telephone_number": "540-775-9879 x223",
            "fax_number": "549-775-3887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STUTZMAN",
        "first_name": "BETH",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-28",
        "last_updated": "2019-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810004986",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "P.O7771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Renee Stover
• Haley Stratton
• James Strohmayer, DO
• Jonte A Stroud
• Mackenzie Sturgeon
• Katherine Ann Stutzman, PH.D.
• Sunil Parulkar MD Urology
• Steven Michael Swain, M.D.
• Lee B Swearingen, DDS
• Mark William Swift, DO

• 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 Jul 16, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.