DR. THEODORA STOLZ PHD PSYCHOLOGIST
NPI 1558446245
Psychologist - Clinical in Staten Island, NY

Active since October 25, 2006PECOS EnrolledAccepts Medicare Assignment
68 GUYON AVE, STATEN ISLAND, NY 10306(718) 980-3780(718) 987-6113 Get Directions Write a Review

NPPES record last updated: June 20, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Theodora Stolz Phd Psychologist NPPES

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

DR. THEODORA STOLZ PHD PSYCHOLOGIST (NPI 1558446245) is an individual clinical provider in Staten Island, New York, licensed in New York (010825) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1989).

NPPES Registry Identity

NPI1558446245
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. THEODORA STOLZCredential: PHD PSYCHOLOGIST
Location Address68 GUYON AVEStaten Island, NY 10306
Mailing Address68 Guyon AveStaten Island, NY 10306 · (718) 980-3780 · Fax (718) 987-6113
Fax(718) 987-6113
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateOctober 25, 2006
Last NPPES UpdateJune 20, 2013
NPI 1558446245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses Licensed in NY · 010825 Licensed in NJ · 3222
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.
68 GUYON AVE, Staten Island, NY 10306

Other Identifiers 4

Medicare UPIN075879NJ
Medicare UPINV70791NY
Medicaid01627747NY
Medicaid0028533NJ

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Theodora Stolz Phd Psychologist is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577451681
PECOS Enrollment IDI20101014000299
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
599 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10306 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$203.53 typical visit price
range $67.40 – $203.53
Typical copayment $50.88 (range $16.85 – $50.88)
Most-billed visit code 99205
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

Psychologist (Clinical)
68 GUYON AVE
S I, NY 10306

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 Theodora Stolz's NPI number?

The NPI number for Theodora Stolz is 1558446245. It was assigned to this individual provider in the NPPES registry on October 25, 2006.

Where is Theodora Stolz located?

Theodora Stolz practices at 68 Guyon Ave, Staten Island, NY 10306. The listed phone number is (718) 980-3780.

What is Theodora Stolz's specialty?

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

Is Theodora Stolz enrolled in Medicare?

Yes. Theodora Stolz is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Theodora Stolz accept?

Health plans from Providence Health Plan list Theodora Stolz 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 Theodora Stolz was last updated on June 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.