Active NPI
Zachariah Stutman, PSY.D.
- Clinical Psychologist
- Washington, DC
National Provider Identifier
1770899338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1000621
- Practice address
- 4601 Connecticut Ave NW
Suite 20
Washington, DC 20008-5700 - Phone
- (202) 531-0180
- NPI assigned
- Aug 20, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 081004014 | VA | |
| Clinical Psychologist | 103TC0700X | 1000621 | DC | Primary |
Addresses
Primary practice location
4601 Connecticut Ave NW
Suite 20
Washington, DC 20008-5700
Mailing address
4601 Connecticut Ave NW
Suite 20
Washington, DC 20008-5700
Phone (202) 531-0180
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1000621 | DC | MD | Clinical Psychologist |
| 081004014 | VA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282262400000",
"number": "1770899338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4601 CONNECTICUT AVE NW",
"address_2": "SUITE 20",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200085700",
"telephone_number": "202-531-0180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4601 CONNECTICUT AVE NW",
"address_2": "SUITE 20",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200085700",
"telephone_number": "202-531-0180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUTMAN",
"first_name": "ZACHARIAH",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-08-20",
"last_updated": "2010-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "081004014",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "DC",
"license": "1000621",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.