David M. Stroup, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

60128042 Issued in WA

Practice address

1700 NW Gilman Blvd
Suite #205
Issaquah, WA 98027-5349

Phone

(206) 395-9301

Fax

(309) 406-6366

NPI assigned

Aug 29, 2007

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

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 Jan 1, 2020 through Jan 1, 2028

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": "1188345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283385600000",
    "number": "1871787374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1037 NE 65TH ST",
            "address_2": "SUITE #345",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981156655",
            "telephone_number": "206-395-9301",
            "fax_number": "309-406-6366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 NW GILMAN BLVD",
            "address_2": "SUITE #205",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980275349",
            "telephone_number": "206-395-9301",
            "fax_number": "309-406-6366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROUP",
        "first_name": "DAVID",
        "middle_name": "M.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-29",
        "last_updated": "2010-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "60128042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mikayla Bartell Stoecker, MS, CGC
• Shannon Nicole Stone, DPT
• Tatiana Jacqueline Stone
• Theresa Ann Stoppard, LMP
• Christina Strauch, SE
• Carrie Ann Strub, OTRL
• Jennifer Danielle Struble, MD
• Laurel Stugart, MSOT
• Diana Carolina Sturgeon
• Austen L Stutsman, DPT, NREMT

• Clinical Psychologist in Issaquah, WA
• Providers in Issaquah, WA by specialty
• Clinical Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.