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Dr. Kandi Renee Stull , PsyD

Psychologist β€’ Cedar Park, TX

Active NPI 1700411824 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

3000 Polar Ln Ste 101
Cedar Park, TX 786133065

Call 8448248775 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3000 Polar Ln Ste 101

Cedar Park, TX 786133065

Telephone 8448248775
Fax 2816482200
Organization at the Same NPPES Address or Phone
Progressive Behavioral Health, Pllc Facility NPI 1659567238

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Faithful Therapy Tx Corporation. See the list

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026

Graduation Year

2019

Years since graduation

7 years (graduated 2019)

CMS Doctors and Clinicians data list 2019 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Stull has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Stull as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Cedar Park and Texas

7 active clinicians are listed under Psychologist with a practice address in Cedar Park, TX (2,162 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-09-05
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

License # reported to NPPES TX 38422

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - CLINICAL PSYCHOLOGIST

Medicare Enrollment ID

I20201125000130

Enrollment State Jurisdiction

TX

PECOS Control ID

9537570403

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026

Faithful Therapy Tx Corporation

825 Watters Creek Blvd, Allen, TX 750133770

Phone: 8332314673

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

17 listed
Dr. Sumaira Ahmed , MD

Psychiatry & Neurology - Psychiatry

NPI 1043247687

Doctor of Medicine (M.D.)

Anthony Benoit , APRN, PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1083087365

Advanced Practice Registered Nurse, Psychiatric-Mental Health Nurse Practitioner

Wardell Hollis , PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1114440195

Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Mona Jimenez , PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1043828544

Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Dr. Gloria Keraga , MD

Psychiatry & Neurology - Psychiatry

NPI 1053330225

Doctor of Medicine (M.D.)

Angela Lauer , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1053064030

Psychiatric-Mental Health Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location September 05, 2025

Registered at 3000 POLAR LN STE 101, CEDAR PARK, TX 786133065 (Tel: 8448248775)

πŸ“
Updated Business Mailing Address September 05, 2025

Registered at 3000 POLAR LN STE 101, CEDAR PARK, TX 786133065 (Tel: 8448248775)

βœ…
NPI Profile Active March 09, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 09, 2020

Registered at 201 S LAKELINE BLVD STE 904, CEDAR PARK, TX 786132718 (Tel: 5127093401)

πŸ“
Business Mailing Address (Initial Record) March 09, 2020

Registered at 2403 W BEN WHITE BLVD, AUSTIN, TX 787047534 (Tel: 5127072782)

πŸ‘€
Provider Name / Credentials (Initial Record) March 09, 2020

Recorded as KANDI STULL, PSY.D.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 09, 2020

Psychologist (license number reported to NPPES: TX 38422)

🟒
Initial NPI Registration & Enumeration March 09, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1700411824
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 09, 2020
Last Update: September 05, 2025
Sole Proprietor: No

Mailing Address

3000 Polar Ln Ste 101

Cedar Park, TX 786133065

Phone: 8448248775

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.