Denise Ann Stoddard, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

6301013677 Issued in MI

Practice address

300 W Ferry St
Berrien Springs, MI 49103-1109

Phone

(269) 815-5331

Fax

(269) 815-5061

NPI assigned

Oct 14, 2010

Sex

Female

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

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optum Behavioral Care of Colorado PCGroup PAC ID 0941648463, 196 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: denise.stoddard.1@28621.direct.athenahealth.com

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.

• Optum Behavioral Care of Colorado, P.C.

  dba Child & Family Psychological Services of Michigan

  • Counseling Psychologist
  • Portage, MI
  • NPI 1922860170
  Medicare reassignment Care Compare group NPD
• Life Coach Psychology PLC

  • Clinical Psychologist
  • Berrien Springs, MI
  • NPI 1831495993
  Medicare reassignment NPD
• Optum Behavioral Care of Colorado, P.C.

  dba Child & Family Psychological Services of Michigan

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Portage, MI
  • NPI 1093572349
  NPD
• Life Coach Psychology PLC

  • Clinical Psychologist
  • Anchorage, AK
  • NPI 1932497617
  NPD
• Optum Behavioral Care of Colorado, P.C.

  • Clinical Social Worker
  • De Pere, WI
  • NPI 1396622494
  NPD

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

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355875200000",
    "number": "1790095594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W. FERRY STREET",
            "city": "BERRIEN SPRINGS",
            "state": "MI",
            "postal_code": "491031664",
            "telephone_number": "269-815-5331",
            "fax_number": "269-815-5061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W FERRY ST",
            "city": "BERRIEN SPRINGS",
            "state": "MI",
            "postal_code": "491031109",
            "telephone_number": "269-815-5331",
            "fax_number": "269-815-5061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STODDARD",
        "first_name": "DENISE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-14",
        "last_updated": "2012-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MI",
            "license": "6301013677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counseling Psychologist in Berrien Springs, MI
• Providers in Berrien Springs, MI by specialty
• Counseling Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.