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AMY LUITJOHAN STOFFREGEN PSYD
NPI 1336549773
Psychologist - Clinical in Columbus, OH

Active since September 03, 2014Opted out of Medicare · through Apr 1, 2027
1520 OLD HENDERSON RD STE 100D, COLUMBUS, OH 43220(614) 456-7777(614) 547-7868 Get Directions Write a Review

NPPES record last updated: July 8, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amy Luitjohan Stoffregen Psyd NPPES

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

AMY LUITJOHAN STOFFREGEN PSYD (NPI 1336549773) is an individual clinical provider in Columbus, Ohio, licensed in Ohio (7196) and active in the NPI registry since September 2014. She has opted out of Medicare through April 1, 2027 and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1336549773
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameAMY LUITJOHAN STOFFREGENCredential: PSYD
Location Address1520 OLD HENDERSON RD STE 100DColumbus, OH 43220-3639
Mailing Address1520 Old Henderson Rd Ste 100dColumbus, OH 43220-3639 · (614) 547-7868
Phone(614) 456-7777
Fax(614) 547-7868
Sole ProprietorYes
Enumeration DateSeptember 3, 2014
Last NPPES UpdateJuly 8, 2020
NPPES CertifiedJuly 8, 2020
✔ NPI 1336549773 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 OH · 7196
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.
1520 OLD HENDERSON RD STE 100D, Columbus, OH 43220
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Secondary Practice Locations 2

Location 17105 Hamilton AveCincinnati, OH 45231-5218 · Phone (513) 522-0777 · Fax (513) 522-4577
Location 24949 Olentangy River RdColumbus, OH 43214-1926 · Phone (614) 451-6606

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include MedMutual.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Amy Luitjohan Stoffregen Psyd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2021 through April 1, 2027.

Opt-Out Effective DateApril 1, 2021
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Amy Stoffregen's NPI number?

The NPI number for Amy Stoffregen is 1336549773. It was assigned to this individual provider in the NPPES registry on September 3, 2014.

Where is Amy Stoffregen located?

Amy Stoffregen practices at 1520 Old Henderson Rd Ste 100D, Columbus, OH 43220. The listed phone number is (614) 456-7777.

What is Amy Stoffregen's specialty?

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

Is Amy Stoffregen enrolled in Medicare?

No. Amy Stoffregen has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Amy Stoffregen accept?

Health plans from MedMutual list Amy Stoffregen 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 Amy Stoffregen was last updated on July 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.