Individual provider Active NPI

Robert G Pazulinec, EDD

  • Clinical Psychologist
  • Nashville, TN
National Provider Identifier
1679516082
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS00354 Issued in TN
Practice address
1317 16TH Ave S
Nashville, TN 37212-2903
Phone
(615) 973-7874
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS00354 TN Primary

Addresses

Primary practice location

1317 16TH Ave S
Nashville, TN 37212-2903

Mailing address

1317 16TH Ave S
Nashville, TN 37212-2903
Phone (615) 973-7874

Other identifiers 4

IdentifierTypeStateIssuer
406128OtherRIBLUE CHIP
30143-5OtherRIBLUE CROSS
61-07239OtherRIUNITED BEHAVIORAL HEALTH
RP18105MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20160217001385 TN Practitioner - Clinical Psychologist 3476860347 Practice locations: Nashville, TN

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1501 16TH Ave S
Nashville, TN 37212-2905
Phone (615) 973-7874

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PS00354TNMDClinical Psychologist
3249TNMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1679516082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 16TH AVE S",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372122903",
            "telephone_number": "615-973-7874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 16TH AVE S",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372122903",
            "telephone_number": "615-973-7874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAZULINEC",
        "first_name": "ROBERT",
        "middle_name": "G",
        "credential": "EDD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "PS00354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "406128",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "30143-5",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "61-07239",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RP18105",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.