Active NPI
Stephen V Stutzman, PH.D., LMFT
- Marriage & Family Therapist
- Chesapeake, VA
National Provider Identifier
1528023686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 0717001207
- Practice address
- 1435 Crossways Blvd
Suite 109
Chesapeake, VA 23320-2896 - Phone
- (757) 410-0072
- NPI assigned
- Apr 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 6074027-3902 | UT | |
| Marriage & Family Therapist | 106H00000X | 0717001207 | VA | Primary |
Addresses
Primary practice location
1435 Crossways Blvd
Suite 109
Chesapeake, VA 23320-2896
Mailing address
208 Robert St
Chesapeake, VA 23322-4025
Phone (801) 400-8769
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6074027-3902 | UT | MD | Marriage & Family Therapist |
| 0717001207 | VA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chesapeake Psychological Associates, LLC | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/24900/brand/1/csg/1/fhir/r4
Organizations & group practices 1
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.
-
- Clinical Psychologist
- Chesapeake, VA
- NPI 1487884102
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264032000000",
"number": "1528023686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 ROBERT ST",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233224025",
"telephone_number": "801-400-8769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1435 CROSSWAYS BLVD",
"address_2": "SUITE 109",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233202896",
"telephone_number": "757-410-0072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUTZMAN",
"first_name": "STEPHEN",
"middle_name": "V",
"name_prefix": "Dr.",
"credential": "PH.D., LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-19",
"last_updated": "2010-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "UT",
"license": "6074027-3902",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "VA",
"license": "0717001207",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.