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THEODORA STOLZ CLINIC
NPI 1912081787
Psychologist - Clinical in S I, NY

Active since October 25, 2006
68 GUYON AVE, S I, NY 10306(718) 980-3780(718) 987-6113 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Theodora Stolz Clinic NPPES

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

THEODORA STOLZ CLINIC (NPI 1912081787) is a healthcare organization registered as a clinical in S I, New York and active in the NPI registry since October 2006. The organization lists Theodora Stolz, President, as its authorized official.

NPPES Registry Identity

NPI1912081787
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameTHEODORA STOLZ CLINIC
Location Address68 GUYON AVES I, NY 10306
Mailing Address68 Guyon AveS I, NY 10306 · (718) 980-3780 · Fax (718) 987-6113
Phone(718) 980-3780
Fax(718) 987-6113
Organization SubpartNo
Authorized OfficialTheodora StolzPresident · (718) 980-3780
Enumeration DateOctober 25, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1912081787 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, S I, NY 10306
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Other Identifiers 2

Medicaid0028533NJ
Medicaid01627747NY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. THEODORA STOLZ PHD PSYCHOLOGIST
Psychologist (Clinical)
68 GUYON AVE
STATEN ISLAND, NY 10306
Richmond County (718) 980-3780

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 Clinic's NPI number?

The NPI number for Theodora Stolz Clinic is 1912081787. It was assigned to this organization in the NPPES registry on October 25, 2006.

Where is Theodora Stolz Clinic located?

Theodora Stolz Clinic is located at 68 Guyon Ave, S I, NY 10306. The listed phone number is (718) 980-3780.

What is Theodora Stolz Clinic'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 Theodora Stolz Clinic was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.