Individual provider Active NPI

Helene F. Stoller

  • Clinical Psychologist
  • Bluffton, SC
National Provider Identifier
1629074604
Registry record updated Jan 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1017 Issued in SC
Practice address
23 Plantation Park Rd
BLDG 400
Bluffton, SC 29910-9009
Phone
(843) 290-6828
Fax
(843) 757-3993
NPI assigned
Jun 23, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2008

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 1017 SC Primary

Addresses

Primary practice location

23 Plantation Park Rd
BLDG 400
Bluffton, SC 29910-9009

Mailing address

2 Little Johns Retreat
Bluffton, SC 29910-5705
Phone (843) 290-6828

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: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3395MNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Helene Stoller, Psy.D., L.P. Clinical PastSince Nov 5, 2021 Accepting new patients
Patricia Verby Psychological Services Inc Past Accepting new patients
Bushman Psychological Services LLC Past Accepting new patients

Organizations & group practices 3

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": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200441600000",
    "number": "1629074604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 LITTLE JOHNS RETREAT",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299105705",
            "telephone_number": "843-290-6828",
            "fax_number": "843-757-6289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 PLANTATION PARK RD",
            "address_2": "BLDG 400",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299109009",
            "telephone_number": "843-290-6828",
            "fax_number": "843-757-3993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLLER",
        "first_name": "HELENE",
        "middle_name": "F.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-23",
        "last_updated": "2008-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "SC",
            "license": "1017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluffton, SC

Sources for this page

Verify at the official NPI Registry.