David J Ahmad-Stout, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS018208 Issued in PA

Practice address

1420 Walnut St Ste 1206
Philadelphia, PA 19102-4012

Phone

(410) 802-8952

Fax

(215) 821-8987

NPI assigned

Mar 18, 2013

Sex

Male

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1363564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1386986388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 WALNUT ST STE 1206",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191024012",
            "telephone_number": "410-802-8952",
            "fax_number": "215-821-8987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 WALNUT ST STE 1206",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191024012",
            "telephone_number": "410-802-8952",
            "fax_number": "215-821-8987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMAD-STOUT",
        "first_name": "DAVID",
        "middle_name": "J",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-18",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS018208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlyn Dawn Ahlberg, MD, MA
• Dayal Singh Ahluwalia, DO
• Vaibhav Ahluwalia, MD
• Vibhor Ahluwalia
• Shawn Khaliq Ahmad Chaustre, MD
• Farah Ahmad-Stout, MD
• Asyia Shareen Ahmad, MD
• Bilal Ahmad, M.D.
• Hasan Shahzad Ahmad, MD
• Jawad Ahmad, DO

• All providers in Philadelphia, PA
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.