Robert Edward Stull

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

140 Gould St Ste 230
Needham, MA 02494-2397

Phone

(774) 225-0006

NPI assigned

Apr 26, 2021

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 26, 2021.

{
    "created_epoch": "1619395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619395200000",
    "number": "1215519574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 ROBBINS ROAD",
            "address_2": "UNIT 16",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "02360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 GOULD ST STE 230",
            "city": "NEEDHAM",
            "state": "MA",
            "postal_code": "024942397",
            "telephone_number": "774-225-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STULL",
        "first_name": "ROBERT",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-26",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Stock, OTD; MS OTRL
• Marjorie Stone, LICSW
• Rebecca S Stone, M.D.
• David L Stormberg, M.D.
• Richard Strakus, DMD
• Christine Louise Sullivan, LICSW
• Mary Elizabeth Sullivan, LISCW
• Gina Sultan
• Supportive Behavioral Care of Ma LLC
• Tyler Swanberg

• All providers in Needham, MA
• Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.