Individual provider Active NPI

Frank Jonathan Stoll, PH.D.

  • Psychologist
  • West Hartford, CT
National Provider Identifier
1568493518
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
001415 Issued in CT
Practice address
18 N Main St
Third Floor
West Hartford, CT 06107-1970
Phone
(860) 604-5519
Fax
(860) 561-1723
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 001415 CT Primary

Addresses

Primary practice location

18 N Main St
Third Floor
West Hartford, CT 06107-1970

Mailing address

18 N Main St FL 3
West Hartford, CT 06107-1970
Phone (860) 604-5519

Other identifiers 1

IdentifierTypeStateIssuer
008089705MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190805002482 CT Practitioner - Clinical Psychologist 1355678947 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

18 N Main St
West Hartford, CT 06107-1970
Phone 86056116621

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Frank J Stoll, PH.D., LLC CurrentSince Apr 4, 2019 Accepting new patients

Locations

18 N Main St
West Hartford, CT 06107
Phone (860) 561-1662

18 N Main St
Fl Third
West Hartford, CT 06107
Phone (860) 561-1662

18 N Main St
Fl 3
West Hartford, CT 06107
Phone (860) 515-8242

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.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1568493518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 N MAIN ST FL 3",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061071970",
            "telephone_number": "860-604-5519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 N MAIN ST",
            "address_2": "THIRD FLOOR",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061071970",
            "telephone_number": "860-604-5519",
            "fax_number": "860-561-1723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLL",
        "first_name": "FRANK",
        "middle_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CT",
            "license": "001415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008089705",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hartford, CT

Sources for this page

Verify at the official NPI Registry.