Michael B. Stotler MD PC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

110846 Issued in MO

Legal business name

MICHAEL B. STOTLER MD PC

Practice address

425 Marshall Ave
Webster Groves, MO 63119-1833

Phone

(314) 706-5268

NPI assigned

May 29, 2009

Last updated

May 29, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Michael B. Stotler, MDNPI 1578613014

Title

President

Phone

(314) 706-5268

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Brent Stotler, MD

  • Psychiatry Physician
  • Saint Louis, MO
  • NPI 1578613014
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1243555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243555200000",
    "number": "1952536385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 MARSHALL AVE",
            "city": "WEBSTER GROVES",
            "state": "MO",
            "postal_code": "631191833",
            "telephone_number": "314-706-5268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 MARSHALL AVE",
            "city": "WEBSTER GROVES",
            "state": "MO",
            "postal_code": "631191833",
            "telephone_number": "314-706-5268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL B. STOTLER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-29",
        "last_updated": "2009-05-29",
        "status": "A",
        "authorized_official_last_name": "STOTLER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-706-5268",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MO",
            "license": "110846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn Marie McGinnis, AGACNP-BC
• Bethany Nicole McNew, LMSW
• Rebecca Meadows
• Rebecca Mercurio, LCSW
• Mercy Pharmacy Services LLC (Mercy Pharmacy Mackenzie)
• Mindful Pilates and Wellness, LLC
• Miriam Learning Center
• Missouri CVS Pharmacy LLC (CVS Pharmacy #02363)
• Missouri CVS Pharmacy, L.L.C. (CVS Pharmacy #18024)
• Ai Ling Moore, MSW, LCSW

• Mental Health Clinic/Center (Including Community Mental Health Center) in Webster Groves, MO
• Providers in Webster Groves, MO by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.