KANDI STULL


Address: 201 S Lakeline Blvd Ste 904, Cedar Park, TX 78613-2718
Phone: 5127093401

KANDI STULL (NPI# 1700411824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700411824
Entity Type Individual
Full Name KANDI STULL
Credential PSY.D.
Practice Address 201 S Lakeline Blvd Ste 904
Cedar Park
TX 78613-2718
Mailing Address 2403 W Ben White Blvd
Austin
TX 78704-7534
Practice Telephone 5127093401
Mailing Telephone 5127072782
Enumeration Date 2020-03-09
Last Update Date 2020-03-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 38422 TX Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
2403 W Ben White Blvd, Austin, TX 787047534 5127072782

Office Location

Street Address 201 S LAKELINE BLVD STE 904
City CEDAR PARK
State TX
Zip Code 78613-2718

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841891280 Honor Audiology, LLC Audiologist 1807 Cypress Creek, Ste 106, Ceder Park, TX 78613 2020-11-03
1750980801 Sheneil Roberts Pharmacist 101 Commercial Pkwy, Cedar Park, TX 78613 2020-10-20
1821606674 Whitney Olivia White Dentist 4807 183a, Ste 100, Cedar Park, TX 78613 2020-07-17
1427681436 Alex Parnell Marriage & Family Therapist 3000 Polar Lane, 602, Cedar Park, TX 78613 2020-02-18
1497216642 Rolling Hills Healthcare, Inc. Hospice Care, Community Based 1101 Arrow Point Dr Ste 301, Cedar Park, TX 78613 2019-03-29
1265907828 Mary Kathleen Williams Clinical Nurse Specialist 1103 Pagedale Drive, Cedar Park, TX 78613 2018-10-10
1982187514 Elizabeth Harwell Physical Therapy Assistant 1500 Cottonwood Creek Trail, Cedar Park, TX 78613 2018-09-10
1346722246 Riddhi Gohel Optometrist 11200 Lakeline Mall Dr Ste H5, Cedar Park, TX 78613 2018-09-06
1528546736 Lakeline Emergency Center, LLC Clinic/Center 1860 S. Lakeline Blvd, Cedar Park, TX 78613 2018-07-31
1710464458 Kelsey Alyse Hayes Dietitian, Registered 1401 Medical Pkwy B, Suite 101, Cedar Park, TX 78613 2018-07-25
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093206013 Scott Wood Psychologist 1421 Davis Mountain Loop, Cedar Park, TX 78613-7466 2018-05-24
1467782375 Tasha Mcmahon Wellington Psychologist 701 E Whitestone Blvd, Suite 200, Cedar Park, TX 78613-6944 2009-12-28
1568604130 Eve Merrill Psychologist 930 S Bell Blvd, #301, Cedar Park, TX 78613-3972 2009-03-29

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1396352340 Frisco Psychology Group Inc Psychologist 3725 Angeles Ave, Mckinney, TX 75070-5402 2020-09-24
1356956783 Yvonne Ann Fritz Psychologist 1402 S Custer Rd, Mckinney, TX 75072-1451 2020-09-11
1659986495 Kennetha L. Fry Phd Pllc Psychologist 2626 S Loop W Ste 545, Houston, TX 77054-2679 2020-09-09
1912519802 Monica Munoz Psychologist 1204 Greendale Dr, Bedford, TX 76022-7789 2020-08-20
1033720305 Albabeth Sarraga Rios Psychologist 2801 Bacon Ranch Rd, Killeen, TX 76542-3070 2020-08-11
1558988030 Catherine Wisenberg Abrahamson Psychologist 2806 Winding Shore Ln, Katy, TX 77450-5707 2020-06-30
1396361788 Tyler Stone Psychologist 9515 Curry Landing Dr, Houston, TX 77095-7235 2020-06-22
1770108839 Tamara Knapp-grosz Psychologist 9312 Benefit Dr, Aubrey, TX 76227-5726 2020-06-14
1548885296 Marlene Williams Psychologist 12810 Hillcrest Rd # B123, Dallas, TX 75230-1525 2020-06-09
1386267201 Courtney Nelson Psychologist 10420 Estate Ln, Dallas, TX 75238-2211 2020-05-27
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Competitor

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City CEDAR PARK
Zip Code 78613

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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