Eliza Stucker-Rozovsky, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1334 Issued in WV

Practice address

126 E Burke St
Martinsburg, WV 25401-4302

Phone

(304) 245-9106

NPI assigned

Sep 21, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Eliza Stuker Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Yavneh Psychology, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Martinsburg, WV
  • NPI 1558142596
  NPD Authorized official
• Aspen Grove Wellness

  • Psychologist
  • Hagerstown, MD
  • NPI 1497401319
  NPD (past)

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

{
    "created_epoch": "1663718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1396468880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 E BURKE ST",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254014302",
            "telephone_number": "304-245-9106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 E BURKE ST",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254014302",
            "telephone_number": "304-245-9106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUCKER-ROZOVSKY",
        "first_name": "ELIZA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-21",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WV",
            "license": "1334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZA",
            "last_name": "STUKER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Laurie Strong
• Lindsey Stroop
• Samantha Jo Stroop
• Courtney Struthers, M.D.
• Lauren Marie Struve
• Summer Charm Stuckey
• Karen Sue Stum
• Josh Stump
• Lisa Stump
• Kevin Taylor Sturm, PTA

• Clinical Psychologist in Martinsburg, WV
• Providers in Martinsburg, WV by specialty
• Clinical Psychologist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; 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.