Theodora Stolz, PHD PSYCHOLOGIST
NPI 1558446245ActiveIndividual· Psychologist, Clinical· Staten Island, NY
Psychologist, Clinical (PHD PSYCHOLOGIST) in Staten Island, New York, licensed in NY and NJ, with an NPI issued in October 2006. Medicare paid $51,733 for services to 23 patients in 2024.
Overview
| NPI | 1558446245 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD PSYCHOLOGIST |
| Sole proprietor | No |
| NPI issued | Oct 25, 2006 |
| Last updated in NPPES | Jun 20, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 010825 | NY |
| Psychologist, Clinical | 103TC0700X | 3222 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (NJ); Practitioner - Clinical Psychologist (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 23 |
|---|---|
| Services billed | 603 across 2 procedure codes |
| Paid by Medicare | $51,733 |
Education and affiliations
| Graduation year | 1989 |
|---|---|
| Medicare specialty | Clinical Psychologist |
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