Anne Stull, MA

Primary specialty

PsychologistTaxonomy code 103T00000X

License

3621 Issued in NC

Practice address

5121 Kingdom Way Ste 100
Raleigh, NC 27607-6063

Phone

(919) 865-5077

Fax

(919) 882-8661

NPI assigned

Apr 1, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Autism Society of North Carolina, Inc.

  • Community/Behavioral Health Agency
  • Raleigh, NC
  • NPI 1881751865
  NPD (past)

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

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620345600000",
    "number": "1457593741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5121 KINGDOM WAY STE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076063",
            "telephone_number": "919-865-5077",
            "fax_number": "919-882-8661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5121 KINGDOM WAY STE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076063",
            "telephone_number": "919-865-5077",
            "fax_number": "919-882-8661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41 Pacella Park Dr",
            "address_purpose": "LOCATION",
            "city": "Randolph",
            "state": "MA",
            "postal_code": "023681755",
            "country_code": "US",
            "telephone_number": "781-437-1323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STULL",
        "first_name": "ANNE",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-01",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NC",
            "license": "1-08-4154",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "3621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latonia B Stubbs
• Kayla McGuire Stuber
• Janiya Tamarah Stuckey
• Rebecca Stuckey, LCSWA
• Robert Lewis Stuckey, LCSW, LCAS
• Dana S Stumpp, OTR/L
• Julie Lynn Stupke, PMHNP-BC
• Elizabeth Ashley Sturchio, CRNA
• Mark Cooper Sturdivant, MD
• Sturdy Branches PLLC

• Psychologist in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.