Individual provider Active NPI

Michael J Stiers, PH.D.

  • Clinical Psychologist
  • Washington, DC
National Provider Identifier
1548458540
Registry record updated Oct 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY918 Issued in DC
Practice address
1616 18TH St NW
Suite 112
Washington, DC 20009-2530
Phone
(202) 328-0600
Fax
(202) 328-0618
NPI assigned
Oct 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY918 DC Primary

Addresses

Primary practice location

1616 18TH St NW
Suite 112
Washington, DC 20009-2530

Mailing address

1616 18TH St NW
Suite 112
Washington, DC 20009-2530
Phone (202) 328-0600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2013 through Jan 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY918DCMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191456000000",
    "number": "1548458540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 18TH ST NW",
            "address_2": "SUITE 112",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200092530",
            "telephone_number": "202-328-0600",
            "fax_number": "202-328-0618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 18TH ST NW",
            "address_2": "SUITE 112",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200092530",
            "telephone_number": "202-328-0600",
            "fax_number": "202-328-0618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIERS",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-04",
        "last_updated": "2007-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "DC",
            "license": "PSY918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.