DR. VIVIAN LETICIA STOVALL (PSY.D., LP) – Clinical Psychologist, NPI 1801330626

DR. VIVIAN LETICIA STOVALL (PSY.D., LP) is a healthcare provider. based in Rochester hills, Michigan. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY.D., LP. They hold a License No. 6301016144 (MI). The NPI Number for DR. VIVIAN LETICIA STOVALL (PSY.D., LP) is 1801330626

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. VIVIAN LETICIA STOVALL (PSY.D., LP)
NPI
1801330626
Phone
(832) 372-5616
Address
1880 Star Batt Dr
Enumeration Date
13 December 2016
Last Update Date
16 September 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7025469600
Graduation Year
2014 (12 years ago)
PAC ID
2668759234
Group Practice PAC ID
9537599071
Professional Enrollment ID
I20190608000046
Address ID
NV891172749LA2451XDRXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:9State licenses:2Digital endpointsOther names

1,216 CLINICAL PSYCHOLOGIST in MI

Provider Addresses for DR. VIVIAN LETICIA STOVALL (PSY.D., LP)

  • 1880 Star Batt Dr

    Rochester Hills, MI 483093709

    Phone: (832) 372-5616

    Type: Location

  • Farm Road, Tule Springs, Las Vegas, Clark County, Nevada, 89131, United States

    LAS VEGAS, NV 891318171

    Phone: (702) 546-9600

    Fax: (702) 829-8065

    Type: Mailing

  • 115, East Warm Springs Road, Enterprise, Clark County, Nevada, 89119-4016, United States

    LAS VEGAS, NV 891194680

    Phone: (702) 546-9600

    Fax: (702) 829-8065

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-06-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190608000046IClinical PsychologistNVTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour9913$0
90791Psychiatric diagnostic evaluation1515$0
View full utilization report →

Insurance plans in this area (ZIP 48309)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9537599071View full group profile

Reviews

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Frequently asked questions

Does DR. VIVIAN LETICIA STOVALL (PSY.D., LP) have a public NPI I can cite?
Public records show DR. VIVIAN LETICIA STOVALL (PSY.D., LP) under NPI 1801330626.
Is DR. VIVIAN LETICIA STOVALL (PSY.D., LP)'s NPI status active today?
Active status means DR. VIVIAN LETICIA STOVALL (PSY.D., LP)'s NPI record is not deactivated in the public file.
What does the directory say DR. VIVIAN LETICIA STOVALL (PSY.D., LP) does?
Insurance directories may phrase it differently, but here DR. VIVIAN LETICIA STOVALL (PSY.D., LP) maps to Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. VIVIAN LETICIA STOVALL (PSY.D., LP)?
DR. VIVIAN LETICIA STOVALL (PSY.D., LP) shows a connection to Rochester Hills, Michigan in registry-derived data.
Who maintains DR. VIVIAN LETICIA STOVALL (PSY.D., LP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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