Active NPI
Timothy Alan Stultz, PH.D.
- Forensic Psychologist
- Noblesville, IN
National Provider Identifier
1801014485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Psychologist
- License
- 20041429A
- Practice address
- 6573 Crossbridge Dr
Noblesville, IN 46062-7370 - Phone
- (317) 525-7372
- NPI assigned
- Apr 21, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Forensic Psychologist | 103TF0200X | 20041429A | IN | Primary |
Addresses
Primary practice location
6573 Crossbridge Dr
Noblesville, IN 46062-7370
Mailing address
6573 Crossbridge Dr
Noblesville, IN 46062-7370
Phone (317) 525-7372
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20041429A | IN | MD | Forensic Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365984000000",
"number": "1801014485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6573 CROSSBRIDGE DR",
"city": "NOBLESVILLE",
"state": "IN",
"postal_code": "460627370",
"telephone_number": "317-525-7372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6573 CROSSBRIDGE DR",
"city": "NOBLESVILLE",
"state": "IN",
"postal_code": "460627370",
"telephone_number": "317-525-7372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STULTZ",
"first_name": "TIMOTHY",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-21",
"last_updated": "2013-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "IN",
"license": "20041429A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Noblesville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.