Active NPI
Amy Stultz, PSY.D.
- Clinical Psychologist
- Concord, NH
National Provider Identifier
1487795589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- NH1123
- Practice address
- 105 Loudon Rd
Building 3
Concord, NH 03301-5601 - Phone
- (603) 228-0547
- NPI assigned
- Feb 9, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | NH1123 | NH | Primary |
Addresses
Primary practice location
105 Loudon Rd
Building 3
Concord, NH 03301-5601
Mailing address
PO Box 2032
Concord, NH 03302-2032
Phone (603) 226-7505
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NH1123 | NH | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209945600000",
"number": "1487795589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2032",
"city": "CONCORD",
"state": "NH",
"postal_code": "033022032",
"telephone_number": "603-226-7505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 LOUDON RD",
"address_2": "BUILDING 3",
"city": "CONCORD",
"state": "NH",
"postal_code": "033015601",
"telephone_number": "603-228-0547"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STULTZ",
"first_name": "AMY",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-09",
"last_updated": "2008-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NH",
"license": "NH1123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Concord, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.