Grant E. Stoll, PSY.D

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY23037 Issued in CA

Practice address

8575 Morro Rd
Suite K
Atascadero, CA 93422-3924

Phone

(805) 466-5626

Fax

(805) 466-2322

NPI assigned

Jun 9, 2010

Last updated

Jun 9, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Coastal Psychiatric Care, AMC

  • Specialist
  • Atascadero, CA
  • NPI 1376769133
  NPD (past)

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

{
    "created_epoch": "1276041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276041600000",
    "number": "1720308075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8575 MORRO RD",
            "address_2": "SUITE K",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934223924",
            "telephone_number": "805-466-5626",
            "fax_number": "805-466-2322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8575 MORRO RD",
            "address_2": "SUITE K",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934223924",
            "telephone_number": "805-466-5626",
            "fax_number": "805-466-2322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLL",
        "first_name": "GRANT",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-09",
        "last_updated": "2010-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY23037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martin McLeod Steed, M.D.
• Bernadette Ruth Stehly
• Matthew Joseph Steiner, M.D.
• Stella Josefa Culver (Central Coast Physical Therapy Center)
• Sterling Family Wellness
• Chad Emerson Stout, PHARM D
• Theron Andrew Stout, DDS
• Julie Stowasser, M.S., LMFT
• Luke J Stratigakes, DPT
• Ronen Stromberg

• Psychologist in Atascadero, CA
• Providers in Atascadero, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2010; 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.