Michael Jay Stutz, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

01255 Issued in MD

Practice address

12023 Montrose Park PL
Rockville, MD 20852-4157

Phone

(301) 816-8985

Fax

(301) 984-9799

NPI assigned

Jun 18, 2009

Sex

Male

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

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.

Opted out of Medicare

Yes, effective Apr 1, 2016 through Apr 1, 2028

Specialty

Clinical Psychologist

Education

Other, 1977

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245283200000",
    "number": "1790912582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12023 MONTROSE PARK PL",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524157",
            "telephone_number": "301-816-8985",
            "fax_number": "301-984-9799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12023 MONTROSE PARK PL",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524157",
            "telephone_number": "301-816-8985",
            "fax_number": "301-984-9799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUTZ",
        "first_name": "MICHAEL",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-18",
        "last_updated": "2009-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "01255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alisa K. Studley, P.A.
• Robert E Study, M.D.
• Kerryngton Sturdivant
• Karen Sturgill
• Temika Sturtevant
• Susan Styer
• Chenglan Su, ACUPUNCTURIST
• Michelle Su
• Shin Su, L.AC., OMD
• Hilary Suarez Urena

• Psychologist in Rockville, MD
• Providers in Rockville, MD by specialty
• Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2009; 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; Opt Out Affidavits.
• 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.