Carol Jo Stuart, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1072 Issued in OR

Practice address

2188 SW Park PL
205
Portland, OR 97205-1100

Phone

(503) 827-4800

NPI assigned

Apr 11, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629291307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2607",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972082607",
            "telephone_number": "503-827-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2188 SW PARK PL",
            "address_2": "205",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972051100",
            "telephone_number": "503-827-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUART",
        "first_name": "CAROL",
        "middle_name": "JO",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OR",
            "license": "1072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stuart E. Trenholme, M.D., P.C.
• Stuart Weisberg, MD, LLC
• Tasha Lee Stuart-Shuman, BSW. QMHA
• Ariana Stuart
• Ashley N Stuart
• Kristina Denise Stuart, MA
• Noah Stuart
• Roger Stuart, MD
• Samantha E Stuart, D.C.
• Katie Stubbers, MA

• Psychologist in Portland, OR
• Providers in Portland, OR by specialty
• Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.