Michael Brent Stotler, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

110846 Issued in MO

Practice address

5500 Heege Rd
Saint Louis, MO 63123-3505

Phone

(314) 351-0550

Fax

(314) 962-2538

NPI assigned

Jan 10, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

University of Tennessee, HSC, College of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Michael B. Stotler MD PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Webster Groves, MO
  • NPI 1952536385
  Medicare reassignment Authorized official
• Associates in Behavioral Health, LTD.

  • Psychiatry Physician
  • Saint Louis, MO
  • NPI 1720272990
  NPD (past)

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1578613014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 HEEGE RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631233505",
            "telephone_number": "314-351-0550",
            "fax_number": "314-962-2538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 HEEGE RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631233505",
            "telephone_number": "314-351-0550",
            "fax_number": "314-962-2538"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "425 Marshall Avenue",
            "address_purpose": "LOCATION",
            "city": "Webster Groves",
            "state": "MO",
            "postal_code": "63119",
            "country_code": "US",
            "telephone_number": "314-706-5268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOTLER",
        "first_name": "MICHAEL",
        "middle_name": "BRENT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "110846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205032105",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alicia Marie Storts, FNP
• Carolyn Stortz, R.D.L.D.
• Danielle Nicole Stortz, PNP
• Maeve Schleiger Story
• Meghann Hastings Stotlar, LPC
• Brian Ross Stotter, MD
• Christa Marie Stoutenborough, MSN, APRN, A-GNP-C
• Israel Stovall, M.S
• Ladonna Stovall
• Nicole Stover

• Psychiatry Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Psychiatry Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.