Individual provider Active NPI

Nicole Kimberly Stahl, MD

  • Psychiatry Physician
  • Katy, TX
National Provider Identifier
1841481033
Registry record updated Jun 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
BP1-0029105 Issued in TX
Practice address
2900 Commercial Center Blvd Ste 110
Katy, TX 77494-6724
Phone
(713) 332-4388
Fax
(713) 332-4385
NPI assigned
Aug 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X BP1-0029105 TX Primary

Addresses

Primary practice location

2900 Commercial Center Blvd Ste 110
Katy, TX 77494-6724

Mailing address

2900 Commercial Center Blvd Ste 110
Katy, TX 77494-6724
Phone (713) 332-4388

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP1-0029105TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Sans Pareil Center for Children & Family Services, LLC Past Accepting new patients

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": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339027200000",
    "number": "1841481033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 COMMERCIAL CENTER BLVD STE 110",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774946724",
            "telephone_number": "713-332-4388",
            "fax_number": "713-332-4385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 COMMERCIAL CENTER BLVD STE 110",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774946724",
            "telephone_number": "713-332-4388",
            "fax_number": "713-332-4385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAHL",
        "first_name": "NICOLE",
        "middle_name": "KIMBERLY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-05",
        "last_updated": "2012-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "BP1-0029105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2012; 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.