NPIMap

Organization Active NPI

Stultz Sleep Study Services

Doing business as Rest Ensured Sleep Technologies

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Barboursville, WV
National Provider Identifier
1649593377
Registry record updated May 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084S0012X
License
16672 Issued in WV
Legal business name
STULTZ SLEEP STUDY SERVICES
Doing business as
Rest Ensured Sleep Technologies
Practice address
6171 Childers Rd
Barboursville, WV 25504-1227
Phone
(304) 733-5380
Fax
(304) 733-5796
NPI assigned
Mar 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2015

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

Authorized official

Name
Dr. Debra J Stultz, MDNPI 1346249836
Title
Member
Phone
(304) 638-6163

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X 16672 WV
Child & Adolescent Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0804X 16672 WV
Sleep Medicine (Psychiatry & Neurology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084S0012X 16672 WV Primary

Addresses

Primary practice location

6171 Childers Rd
Barboursville, WV 25504-1227

Mailing address

PO Box 457
Barboursville, WV 25504-0457
Phone (304) 733-5380

Other identifiers 11

IdentifierTypeStateIssuer
1346244936OtherMHNET
1346249836OtherCIGNA BEHAVIORAL HEALTH
1346249836OtherMSBCBS
1346249836OtherUNITED BEHAVIORAL HEALTH
1346249836OtherHEALTHNET/TRICARE
1346249836OtherHUMANA
1346244936OtherWELLS FARGO (PEIA)
1346249836Other4-MOST
4510542OtherAETNA
3810018469MedicaidWV
1346249836OtherCARELINK/COVENTRY

Other names 1

  • Rest Ensured Sleep Technologies Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100923000513 WV Part B Supplier - Clinic/Group Practice 0840316204 Receives reassigned benefits from 9 practitioners
Practice locations: Barboursville, WV

National Provider Directory

National Provider Directory

Locations

6171 Childers Rd
Barboursville, WV 25504
Phone (304) 733-5380

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430870400000",
    "number": "1649593377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 457",
            "city": "BARBOURSVILLE",
            "state": "WV",
            "postal_code": "255040457",
            "telephone_number": "304-733-5380",
            "fax_number": "304-733-5796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6171 CHILDERS RD",
            "city": "BARBOURSVILLE",
            "state": "WV",
            "postal_code": "255041227",
            "telephone_number": "304-733-5380",
            "fax_number": "304-733-5796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STULTZ SLEEP STUDY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-09",
        "last_updated": "2015-05-06",
        "status": "A",
        "authorized_official_last_name": "STULTZ",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "304-638-6163",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WV",
            "license": "16672",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "WV",
            "license": "16672",
            "primary": false
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "WV",
            "license": "16672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHNET",
            "identifier": "1346244936",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA BEHAVIORAL HEALTH",
            "identifier": "1346249836",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MSBCBS",
            "identifier": "1346249836",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "1346249836",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET/TRICARE",
            "identifier": "1346249836",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "1346249836",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLS FARGO (PEIA)",
            "identifier": "1346244936",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "4-MOST",
            "identifier": "1346249836",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4510542",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810018469",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARELINK/COVENTRY",
            "identifier": "1346249836",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rest Ensured Sleep Technologies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Barboursville, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.