Individual provider Active NPI

Stephen Curtis, PHD

  • Psychologist
  • Bloomington, IN
National Provider Identifier
1265743165
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
20040021A Issued in IN
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
20040021AOtherINLICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20171219003038 IN Practitioner - Clinical Psychologist 9133487267 Reassigns benefits to 1 organization
I20210504002497 KY Practitioner - Clinical Psychologist 9133487267 Reassigns benefits to 1 organization

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

OrganizationSpecialtyStatusNew patients
360Care Services of Kentucky LLC CurrentSince Jun 10, 2023 Accepting new patients
Hunt Success LLC CurrentSince Dec 6, 2025 Accepting new patients
360Care Services of Kentucky LLC Psychologist CurrentSince Jun 10, 2023 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.