Active NPI
Stanley Brent Stutzman, MA,LP
- Family Psychologist
- Austin, MN
National Provider Identifier
1972777068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Psychologist
- License
- LP3301
- Practice address
- 301 12 Place NW
Austin, MN 55912 - Phone
- (507) 437-6927
- Fax
- (507) 437-6927
- NPI assigned
- Apr 18, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Psychologist | 103TF0000X | LP3301 | MN | Primary |
Addresses
Primary practice location
301 12 Place NW
Austin, MN 55912
Mailing address
PO Box 308
Postville, IA 52162-0308
Phone (563) 864-7122
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP3301 | MN | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alternative Treatment Associates | Family | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208476800000",
"number": "1972777068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 308",
"city": "POSTVILLE",
"state": "IA",
"postal_code": "521620308",
"telephone_number": "563-864-7122",
"fax_number": "563-864-7123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 12 PLACE NW",
"city": "AUSTIN",
"state": "MN",
"postal_code": "55912",
"telephone_number": "507-437-6927",
"fax_number": "507-437-6927"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUTZMAN",
"first_name": "STANLEY",
"middle_name": "BRENT",
"name_prefix": "Mr.",
"credential": "MA,LP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-18",
"last_updated": "2008-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "MN",
"license": "LP3301",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.