DR. JEREMY WAYNE STOUT PH.D.
NPI 1003370321
Psychologist - Clinical in Richmond, VA

Active since January 31, 2019
1207 BROAD ROCK BLVD, RICHMOND, VA 23249(804) 675-5000 Get Directions Write a Review

NPPES record last updated: April 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 4, 2024, Jan 31, 2019 (2 updates tracked since 2019).

About Dr. Jeremy Wayne Stout Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JEREMY WAYNE STOUT PH.D. (NPI 1003370321) is an individual clinical provider in Richmond, Virginia, licensed in Florida (PY10800) and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1003370321
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JEREMY WAYNE STOUTCredential: PH.D.
Location Address1207 BROAD ROCK BLVDRichmond, VA 23249-1899
Mailing Address269 Lookout Hill RdMilford, CT 06461-1899 · (808) 375-4414
Sole ProprietorNo
Enumeration DateJanuary 31, 2019
Last NPPES UpdateApril 4, 20242 updates tracked since enumeration
NPPES CertifiedApril 4, 2024
NPI 1003370321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in FL · PY10800
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
1207 BROAD ROCK BLVD, Richmond, VA 23249

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeremy Stout's NPI number?

The NPI number for Jeremy Stout is 1003370321. It was assigned to this individual provider in the NPPES registry on January 31, 2019.

Where is Jeremy Stout located?

Jeremy Stout practices at 1207 Broad Rock Blvd, Richmond, VA 23249. The listed phone number is (804) 675-5000.

What is Jeremy Stout's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Jeremy Stout was last updated on April 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.