Individual provider Active NPI

David A. Stulman, PH.D.

  • Counseling Psychologist
  • Killeen, TX
National Provider Identifier
1508858085
Registry record updated Mar 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
21341 Issued in TX
Practice address
2100 Trimmier Rd
Suite 103
Killeen, TX 76541-8900
Phone
(254) 634-3007
Fax
(254) 634-3280
NPI assigned
Aug 19, 2005
Sex
Male
Sole proprietor
Yes

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 21341 TX Primary

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&FAMTHERAPY LICENSE #

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20120227000629 TX Practitioner - Clinical Psychologist 2567620248 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of Minnesota Medical School, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

108 E FM 2410 Rd
Suite H
Harker Heights, TX 76548-1800
Phone (254) 634-3007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
21341TXMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
David a. Stulman, PH.D., P.C. Counseling CurrentSince Sep 14, 2001 Accepting new patients

Locations

108 E FM 2410 Rd
Ste H
Harker Hts, TX 76548
Phone (245) 634-3007

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

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206403200000",
    "number": "1508858085",
    "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": {
        "last_name": "STULMAN",
        "first_name": "DAVID",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2008-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "TX",
            "license": "21341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PSYCHOLOGY LICENSE#",
            "identifier": "21341",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAR&FAMTHERAPY LICENSE #",
            "identifier": "267 44990",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Killeen, TX

Sources for this page

Verify at the official NPI Registry.