JOHN ROMAN LUTZ (NPI# 1538235312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538235312 |
| Entity Type | Individual |
| Full Name | JOHN ROMAN LUTZ |
| Credential | PH.D. |
| Practice Address |
240 Creekstone Rdg Woodstock GA 30188-3732 |
| Mailing Address |
190 Ironwood Rd Canton GA 30114-6118 |
| Practice Telephone | 7705929065 |
| Practice Fax Number | 7705929095 |
| Mailing Telephone | 7707047510 |
| Mailing Fax Number | 7705929095 |
| Enumeration Date | 2006-11-25 |
| Last Update Date | 2007-08-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY001726 | GA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000515171C | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356344337 | John L Lutz | Orthopaedic Surgery | 401 N. Sawyer Rd., Suite B, Kendallville, IN 46755-2568 | 2005-05-24 |
| 1548894744 | John Lutz | Chiropractor | 605 Market St Ste 1250, San Francisco, CA 94105-3220 | 2020-02-26 |
| 1255628020 | John Stephen Lutz Jr. | Anesthesiology | 2500 N State St, Jackson, MS 39216-4500 | 2011-06-30 |
| 1316238249 | John R Lutz | Pharmacist | 408 S 1st St, La Grange, KY 40031-1399 | 2011-04-26 |
| 1699826172 | John Carl Lutz | Psychologist | 148 Worcester St, West Boylston, MA 01583-1751 | 2007-01-13 |
| 1366522773 | John P Lutz | Counselor | 4200 Monument Rd, Belmont Center, Philadelphia, PA 19131-1625 | 2006-10-17 |
| 1780627877 | John Peter Lutz | Psychiatry & Neurology | 3200 Vine St, Cincinnati, OH 45220-2213 | 2006-06-14 |
| Street Address |
240 CREEKSTONE RDG |
| City | WOODSTOCK |
| State | GA |
| Zip Code | 30188-3732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144767591 | Rose Psychological Services, LLC | Psychologist | 240 Creekstone Rdg, Woodstock, GA 30188-3732 | 2017-01-24 |
| 1639543218 | Sara Roland Rose | Psychologist | 240 Creekstone Rdg, Woodstock, GA 30188-3732 | 2015-11-19 |
| 1104983410 | Virginia Sutton Wood | Psychologist | 240 Creekstone Rdg, Woodstock, GA 30188-3732 | 2007-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730715814 | Tyler Rose | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 116 South Mill Creek Court, Woodstock, GA 30188 | 2020-03-20 |
| 1881224897 | Dr. Tom LLC | Clinic/Center | 5431 Old Highway 5 Ste 206, Holly Springs, GA 30188 | 2020-01-17 |
| 1467090175 | Stacey Robin Hill | Dietitian, Registered | 210 Mcaffee St, Street Address 2, Woodstock, GA 30188 | 2019-12-12 |
| 1326681784 | Margo Vanderveen | Massage Therapist | 605 Old Hickory Road, Woodstock, GA 30188 | 2019-10-17 |
| 1275093437 | Rebekah Ruth Tchouta | Social Worker | 5166 Shotwell St, Woodstock, GA 30188 | 2019-03-23 |
| 1205395829 | Angela M Graves | Behavior Technician | 3229 S Cherokee Ln Ste 1400, Woodstock, GA 30188 | 2019-03-13 |
| 1396233391 | Costco Wholesale Corporation | Hearing Aid Equipment | 113 Lincoln Street, Woodstock, GA 30188 | 2018-04-25 |
| 1659878080 | Alexis K. Brown | Counselor | 3380 Trickum Rd., Bldg 700, Woodstock, GA 30188 | 2018-04-11 |
| 1427555440 | Lisa Marie Anthony | Specialist/Technologist | 400 Arnold Mill Rd, Woodstock, GA 30188 | 2018-04-06 |
| 1497254122 | J.a.h. Enterprises, LLC | Audiologist | 12195 Hwy. 92, Suite 114-325, Woodstock, GA 30188 | 2018-02-08 |
| Find all providers in zip 30188 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790274421 | Joseph Michael Govia | Psychologist | 83 Witchtree Rd, Woodstock, NY 12498-1941 | 2018-05-08 |
| 1932419389 | Julie Ana Crittendon | Psychologist | 226 Creekstone Rdg, Woodstock, GA 30188-3732 | 2010-10-19 |
| 1013181528 | Joseph L.j. Schwartz Psy.d. P.C. | Psychologist | 1001 Weatherstone Pkwy Ste 430, Woodstock, GA 30188-4495 | 2008-04-15 |
| 1023221892 | Paige Westerfield | Psychologist | 7 Beeches Ln, Suite 3, Woodstock, CT 06281-3436 | 2007-05-08 |
| 1184753840 | Meredith Burns, Psy.d., P.C. | Psychologist | 3380 Trickum Road, Building 1000, Suite 102, Woodstock, GA 30188 | 2007-03-05 |
| 1134263999 | Kelly Vinehout | Psychologist | 1090 Mcconnell Rd, Woodstock, IL 60098-7310 | 2007-02-16 |
| 1023158391 | Elfe K Robinson | Psychologist | 29 High Rocks Road, Woodstock, NY 12498-8053 | 2007-02-07 |
| 1134268220 | Neil Marinello | Psychologist | 217 Maxham Meadow Way, Ste 1038, Woodstock, VT 05091 | 2007-02-05 |
| 1376637835 | Warrem H Kaplan | Psychologist | 8910 Main Street, Woodstock, GA 30188 | 2006-10-02 |
| 1437268125 | Robert W Montgomery | Psychologist | 107 Weatherstone Dr, Suite 530, Woodstock, GA 30188 | 2006-08-29 |
| Find all providers in WOODSTOCK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.