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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ELLEN MARY MANEGOLD STOLTMAN PHD
NPI 1194376053
Psychologist - Clinical in Grand Rapids, MI

Active since September 23, 2019
100/100
CMS Quality Rating
25 MICHIGAN ST NE STE 2200, GRAND RAPIDS, MI 49503(616) 267-2850(616) 267-9024 Get Directions Write a Review

NPPES record last updated: September 9, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 9, 2026, Jun 23, 2025, Feb 25, 2021 and 2 more (5 updates tracked since 2019).

About Ellen Mary Manegold Stoltman Phd NPPES

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

ELLEN MARY MANEGOLD STOLTMAN PHD (NPI 1194376053) is an individual clinical provider in Grand Rapids, Michigan, licensed in Michigan (6301018734) and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1194376053
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameELLEN MARY MANEGOLD STOLTMANCredential: PHD
Location Address25 MICHIGAN ST NE STE 2200Grand Rapids, MI 49503-2515
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Phone(616) 267-2850
Fax(616) 267-9024
Sole ProprietorNo
Enumeration DateSeptember 23, 2019
Last NPPES UpdateSeptember 9, 20265 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2026
✔ NPI 1194376053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MI · 6301018734
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.
25 MICHIGAN ST NE STE 2200, Grand Rapids, MI 49503
Open in Google Maps ↗

Other Names 1

Former Name (1)Ellen Mary Manegold Phd

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.54
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHERYL LUKINS M.D.
Anesthesiology
25 MICHIGAN ST NE STE 2200
GRAND RAPIDS, MI 49503
Kent County (616) 391-3245
DR. NICHOLAS WEI M.D.
Student in an Organized Health Care Education/Training Program
25 MICHIGAN ST NE STE 2200, GRAND RAPIDS MEDICAL EDUCATION PARTNERS
GRAND RAPIDS, MI 49503
Kent County (616) 391-3245
ADELLE MCLAIN CADIEUX PHD
Psychologist (Clinical)
25 MICHIGAN ST NE STE 2200
GRAND RAPIDS, MI 49503
Kent County (616) 267-2850
DR. FAROUQ MANJI MB BCH BAO
Student in an Organized Health Care Education/Training Program
25 MICHIGAN ST NE STE 2200
GRAND RAPIDS, MI 49503
Kent County (616) 516-4392
BRITTANY NICOLE BARBER GARCIA
Psychologist (Clinical)
25 MICHIGAN ST NE STE 2200
GRAND RAPIDS, MI 49503
Kent County (616) 267-2850
GRAND RAPIDS MEDICAL EDUCATION PARTNERS
General Acute Care Hospital
25 MICHIGAN ST NE STE 2200
GRAND RAPIDS, MI 49503
Kent County (616) 391-3245

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 Ellen Stoltman's NPI number?

The NPI number for Ellen Stoltman is 1194376053. It was assigned to this individual provider in the NPPES registry on September 23, 2019. The provider is also known as Ellen Mary Manegold Phd.

Where is Ellen Stoltman located?

Ellen Stoltman practices at 25 Michigan St NE Ste 2200, Grand Rapids, MI 49503. The listed phone number is (616) 267-2850.

What is Ellen Stoltman's specialty?

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

What insurance does Ellen Stoltman accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Ellen Stoltman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ellen Stoltman was last updated on September 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.