Individual provider Active NPI

Christina M. Stemmler, PSYD

  • Clinical Neuropsychologist
  • Fort Wayne, IN
National Provider Identifier
1669701793
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
20042378A Issued in IN
Practice address
2420 N Coliseum Blvd Ste 105
Fort Wayne, IN 46805-3139
Phone
(260) 782-1945
Fax
(260) 599-6745
NPI assigned
Dec 21, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 20042378A IN Primary

Addresses

Primary practice location

2420 N Coliseum Blvd Ste 105
Fort Wayne, IN 46805-3139

Mailing address

2420 N Coliseum Blvd Ste 105
Fort Wayne, IN 46805-3139
Phone (260) 782-1945

Other identifiers 1

IdentifierTypeStateIssuer
200972320MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20100415000701 IN Practitioner - Clinical Psychologist 3274660667 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2420 N Coliseum Blvd
Fort Wayne, IN 46805-3139
Phone (260) 782-1945

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Christina Stemmler, LLC CurrentSince Jun 1, 2022 Accepting new patients

Locations

2420 N Coliseum Blvd
Ste 105
Fort Wayne, IN 46805
Phone (260) 782-1945

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": "1261353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1669701793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 N COLISEUM BLVD STE 105",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468053139",
            "telephone_number": "260-782-1945",
            "fax_number": "260-599-6745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 N COLISEUM BLVD STE 105",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468053139",
            "telephone_number": "260-782-1945",
            "fax_number": "260-599-6745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEMMLER",
        "first_name": "CHRISTINA",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-21",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "IN",
            "license": "20042378A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200972320",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.