NPIMap

Organization Active NPI

David a. Stulman, PH.D., P.C.

  • Counseling Psychologist
  • Killeen, TX
National Provider Identifier
1366403594
Registry record updated Mar 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
2-1341 Issued in TX
Legal business name
DAVID A. STULMAN, PH.D., P.C.
Practice address
2100 Trimmier Rd
Suite 103
Killeen, TX 76541-8900
Phone
(254) 634-3007
Fax
(254) 634-3280
NPI assigned
Mar 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2008

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

Authorized official

Name
Dr. David A. Stulman, PH.D.NPI 1508858085
Title
Owner/Psychologist
Phone
(254) 634-3007

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 2-1341 TX
Counseling PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC1900X 2-1341 TX Primary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 267 44990 TX

Addresses

Primary practice location

2100 Trimmier Rd
Suite 103
Killeen, TX 76541-8900

Mailing address

PO Box 1343
Killeen, TX 76540-1343
Phone (254) 634-3007

Other identifiers 2

IdentifierTypeStateIssuer
21341OtherTXSTATE PSYCHOLOGY LICENSE
267 44990OtherTXMAR&FAM THERAPY LICENSE #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120227000534 TX Part B Supplier - Clinic/Group Practice 9436317104 Receives reassigned benefits from 1 practitioner
Practice locations: Harker Heights, TX

National Provider Directory

National Provider Directory

Locations

2100 Trimmier Rd
Ste 103
Killeen, TX 76541
Phone (254) 634-3007

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206403200000",
    "number": "1366403594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1343",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765401343",
            "telephone_number": "254-634-3007",
            "fax_number": "254-634-3280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 TRIMMIER RD",
            "address_2": "SUITE 103",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765418900",
            "telephone_number": "254-634-3007",
            "fax_number": "254-634-3280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID A. STULMAN, PH.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-29",
        "last_updated": "2008-03-25",
        "status": "A",
        "authorized_official_last_name": "STULMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "254-634-3007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "TX",
            "license": "2-1341",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": "TX",
            "license": "2-1341",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "267 44990",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PSYCHOLOGY LICENSE",
            "identifier": "21341",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAR&FAM THERAPY LICENSE #",
            "identifier": "267 44990",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Killeen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.