Active NPI
Roberta Stiel, PSYD
- Psychologist
- Stamford, CT
National Provider Identifier
1962543025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1389
- Practice address
- 500 Newfield Ave
Stamford, CT 06905-3745 - Phone
- (203) 324-7222
- Fax
- (203) 324-7222
- NPI assigned
- Feb 10, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1389 | CT | Primary |
Addresses
Primary practice location
500 Newfield Ave
Stamford, CT 06905-3745
Mailing address
500 Newfield Ave
Stamford, CT 06905-3745
Phone (203) 324-7222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4105517 | Medicaid | CT |
Medicare participation
Medicare enrollment files- 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
- Opted out of Medicare
- Yes, effective Dec 18, 2020 through Dec 18, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1389 | CT | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962543025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 NEWFIELD AVE",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069053745",
"telephone_number": "203-324-7222",
"fax_number": "203-324-7222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 NEWFIELD AVE",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069053745",
"telephone_number": "203-324-7222",
"fax_number": "203-324-7222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STIEL",
"first_name": "ROBERTA",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CT",
"license": "1389",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4105517",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Stamford, CT
- Hope Alexandra Stevens
- Maureen Anne Stevens, COTA
- Rush Everett Stevens, PHARM.D.
- Emily Stewart, RD, LDN
- Timothy Compton Stewart, MPAS, PA-C
- Graziella Eliza Stocco, NURSE PRACTITIONER
- Judith N Stoddard, LCSW
- Margaret Elizabeth Stofik-Edgren, LMFT
- Donald Milton Stokes, MPH, RD, CDN
- Ben John Stoller, LADC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.