Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Theodora Stolz Clinic

Organization Clinical Psychologist · NPI 1912081787

Theodora Stolz Clinic provides Clinical Psychologist services in S.I., New York. Licensed in New Jersey and New York. Registered with an NPI since 2006.

Licensed in
NJ, NY
In the registry since
2006
Specialties on file
2

Practice location Address checks out

68 Guyon Ave
S.I., NY 10306
Phone: (718) 980-3780
Fax: (718) 987-6113
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 010825 (NY)
Clinical Psychologist Taxonomy 103TC0700X · Licence 3222 (NJ)

Record details

NPI number1912081787
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Theodora Stolz — President · (718) 980-3780
NPI enumeratedOctober 25, 2006
Last updated in NPPESAugust 22, 2020
Mailing address68 Guyon Ave, S I, NY 10306