Nickolaus H Gastil, PSYCH

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

20043859A Issued in IN

Practice address

645 S Rogers St
Bloomington, IN 47403-2353

Phone

(812) 314-3400

Fax

(812) 337-2438

NPI assigned

Oct 1, 2024

Last updated

Jul 22, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Centerstone of Indiana, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bloomington, IN
  • NPI 1992781470
  Medicare reassignment NPD
• Gastil Psychology Group LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Nashville, IN
  • NPI 1124912944
  NPD Authorized official
• Centerstone of Indiana, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bloomington, IN
  • NPI 1972320224
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1727740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1053139808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4645 BELLSVILLE PIKE",
            "city": "NASHVILLE",
            "state": "IN",
            "postal_code": "474489090",
            "telephone_number": "812-320-8109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 S ROGERS ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474032353",
            "telephone_number": "812-314-3400",
            "fax_number": "812-337-2438"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "390 Erie Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Connersville",
            "state": "IN",
            "postal_code": "473313177",
            "country_code": "US",
            "telephone_number": "812-314-3400",
            "fax_number": "812-337-2438",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "831 Dillon Dr",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "IN",
            "postal_code": "473748048",
            "country_code": "US",
            "telephone_number": "812-314-3400",
            "fax_number": "812-337-2438",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1550 E State Road 44",
            "address_purpose": "LOCATION",
            "city": "Connersville",
            "state": "IN",
            "postal_code": "473318293",
            "country_code": "US",
            "telephone_number": "812-314-3400",
            "fax_number": "812-337-2438",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "720 N Marr Rd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "IN",
            "postal_code": "472016660",
            "country_code": "US",
            "telephone_number": "812-314-3400",
            "fax_number": "812-337-2438",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GASTIL",
        "first_name": "NICKOLAUS",
        "middle_name": "H",
        "credential": "PSYCH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-01",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20043859A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel John Garrison, M.D.
• Kristy Garrison, RBT
• Joshua J Garver, D.D.S.
• Gary Gettelfinger MD Dabpm LLC
• Thomas Gast
• Sarah Elizabeth Gearing
• Kayla Dove Geatches, RBT
• Carolyn Geduld, LCSW
• Andrew Geesy
• Douglas Geiger, MD

• Clinical Psychologist in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Clinical Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.