Active NPI
Stephen Braun Tueller, PH.D.
- Clinical Psychologist
- Hill Air Force Base, UT
National Provider Identifier
1154425767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 334
- Practice address
- 7309 11TH St BLDG 545
Hill Air Force Base, UT 84056-5012 - Phone
- (801) 777-7909
- NPI assigned
- Sep 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 334 | SD | Primary |
Addresses
Primary practice location
7309 11TH St BLDG 545
Hill Air Force Base, UT 84056-5012
Mailing address
1920 N 2050 E
Layton, UT 84040-2300
Phone (801) 593-6179
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 334 | SD | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154425767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1920 N 2050 E",
"city": "LAYTON",
"state": "UT",
"postal_code": "840402300",
"telephone_number": "801-593-6179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7309 11TH ST BLDG 545",
"city": "HILL AIR FORCE BASE",
"state": "UT",
"postal_code": "840565012",
"telephone_number": "801-777-7909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUELLER",
"first_name": "STEPHEN",
"middle_name": "BRAUN",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "SD",
"license": "334",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hill Air Force Base, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.