DR. MICHAEL JAY STUTZ PH.D.
NPI 1790912582
Psychologist in Rockville, MD

Active since June 18, 2009Opted out of Medicare · through Apr 1, 2028
12023 MONTROSE PARK PL, ROCKVILLE, MD 20852(301) 816-8985(301) 984-9799 Get Directions Write a Review

NPPES record last updated: June 18, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Michael Jay Stutz Ph.d. NPPES

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

DR. MICHAEL JAY STUTZ PH.D. (NPI 1790912582) is an individual psychologist in Rockville, Maryland, licensed in Maryland (01255) and active in the NPI registry since June 2009. He has opted out of Medicare through April 1, 2028 and remains eligible to order and refer and is a graduate of Other (1977).

NPPES Registry Identity

NPI1790912582
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. MICHAEL JAY STUTZCredential: PH.D.
Location Address12023 MONTROSE PARK PLRockville, MD 20852-4157
Mailing Address12023 Montrose Park PlRockville, MD 20852-4157 · (301) 816-8985 · Fax (301) 984-9799
Fax(301) 984-9799
Sole ProprietorYes
Medical School CMSOtherGraduated 1977
Enumeration DateJune 18, 2009
NPI 1790912582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MD · 01255
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
12023 MONTROSE PARK PL, Rockville, MD 20852

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Michael Jay Stutz Ph.d. 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, 2016 through April 1, 2028.

Opt-Out Effective DateApril 1, 2016
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Michael Stutz's NPI number?

The NPI number for Michael Stutz is 1790912582. It was assigned to this individual provider in the NPPES registry on June 18, 2009.

Where is Michael Stutz located?

Michael Stutz practices at 12023 Montrose Park Pl, Rockville, MD 20852. The listed phone number is (301) 816-8985.

What is Michael Stutz's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Michael Stutz enrolled in Medicare?

No. Michael Stutz has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Michael Stutz was last updated on June 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.