Active NPI
Stephen Curtis, PHD
- Psychologist
- Bloomington, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 20040021A
- Practice address
- 205 N College Ave
Suite 713
Bloomington, IN 47404-3950 - Phone
- (812) 333-0344
- NPI assigned
- Jun 24, 2010
- Last updated
- Sep 25, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 20040021A | IN | |
| Psychologist | 103T00000X | 20040021A | IN | Primary |
Addresses
Primary practice location
205 N College Ave
Suite 713
Bloomington, IN 47404-3950
Mailing address
4625 E Inverness Woods Rd
Bloomington, IN 47401-9192
Phone (812) 327-0932
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20040021A | Other | IN | LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
6296 Rucker Rd
Suite a
Indianapolis, IN 46220-4852
Phone (317) 389-8033
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 360Care Services of Kentucky LLC | Current | Accepting new patients | |
| Hunt Success LLC | Current | Accepting new patients | |
| 360Care Services of Kentucky LLC | Psychologist | Current | Accepting new patients |
| Greenhouse and Associates Inc. | Past | Accepting new patients |
Locations
6296 Rucker Rd
Ste A
Indianapolis, IN 46220
Phone (317) 550-3042
12910 Shelbyville Rd
Ste 300
Louisville, KY 40243
Phone (502) 214-0693
4350 Brownsboro Rd
Ste 200
Louisville, KY 40207
Phone (513) 771-7483
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 5
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727222400000",
"number": "1265743165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4625 E INVERNESS WOODS RD",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474019192",
"telephone_number": "812-327-0932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 N COLLEGE AVE",
"address_2": "SUITE 713",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474043950",
"telephone_number": "812-333-0344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CURTIS",
"first_name": "STEPHEN",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-06-24",
"last_updated": "2024-09-25",
"certification_date": "2024-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "IN",
"license": "20040021A",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "IN",
"license": "20040021A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "20040021A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; 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.