Karl William Stukenberg, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

4789 Issued in OH

Practice address

3800 Victory Pkwy
Xavier University Department of Psychology
Cincinnati, OH 45207-1035

Phone

(513) 745-1041

Fax

(513) 745-4380

NPI assigned

Sep 20, 2006

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 OH

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

Specialty

Clinical Psychologist

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235237470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 VICTORY PKWY",
            "address_2": "XAVIER UNIVERSITY DEPARTMENT OF PSYCHOLOGY",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452071035",
            "telephone_number": "513-745-1041",
            "fax_number": "513-745-4380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 VICTORY PKWY",
            "address_2": "XAVIER UNIVERSITY DEPARTMENT OF PSYCHOLOGY",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452071035",
            "telephone_number": "513-745-1041",
            "fax_number": "513-745-4380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUKENBERG",
        "first_name": "KARL",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "4789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Studt, RN
• Kory Stuessel, PHARMD
• Zachary Stueve, DDS
• Jena Marie Stugmyer, MSW, LISW
• Steven J Stuhlreyer, PH.D., LPCC-S
• Brian Stump, LISW
• Cameron L Stump, MD
• Sarah Michelle Stump, PTA
• Lori Stupp-Bobula, PA-C
• Jelissa Sturdivant

• Clinical Psychologist in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Clinical Psychologist in Ohio

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.