KANDI RENEE STULL PSY.D.
NPI 1700411824
Psychologist in Cedar Park, TX

Active since March 09, 2020PECOS EnrolledAccepts Medicare Assignment
3000 POLAR LN STE 101, CEDAR PARK, TX 78613(844) 824-8775(281) 648-2200 Get Directions Write a Review

NPPES record last updated: September 5, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 5, 2025, Mar 30, 2023, Mar 9, 2020 (3 updates tracked since 2020).

About Kandi Renee Stull Psy.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KANDI RENEE STULL PSY.D. (NPI 1700411824) is an individual psychologist in Cedar Park, Texas, licensed in Texas (38422) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1700411824
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameKANDI RENEE STULLCredential: PSY.D.
Location Address3000 POLAR LN STE 101Cedar Park, TX 78613-3065
Mailing Address3000 Polar Ln Ste 101Cedar Park, TX 78613-3065 · (844) 824-8775
Fax(281) 648-2200
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 9, 2020
Last NPPES UpdateSeptember 5, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2025
✔ NPI 1700411824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in TX · 38422
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.
3000 POLAR LN STE 101, Cedar Park, TX 78613

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kandi Renee Stull Psy.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537570403
PECOS Enrollment IDI20201125000130
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kandi Stull reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Counseling
112 ABELIA DR
Fate, TX 75189
  • Reassigned Medicare billing, Texas enrollment
  • 24 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
3000 POLAR LN STE 101
CEDAR PARK, TX 78613
Social Worker (Clinical)
3000 POLAR LN STE 101
CEDAR PARK, TX 78613
Social Worker (Clinical)
3000 POLAR LN STE 101
CEDAR PARK, TX 78613
Social Worker (Clinical)
3000 POLAR LN STE 101
CEDAR PARK, TX 78613
Nurse Practitioner (Psychiatric/Mental Health)
3000 POLAR LN STE 101
CEDAR PARK, TX 78613
Marriage & Family Therapist
3000 POLAR LN STE 101
CEDAR PARK, TX 78613
Counselor (Professional)
3000 POLAR LN STE 101
CEDAR PARK, TX 78613
Counselor (Professional)
3000 POLAR LN STE 101
CEDAR PARK, TX 78613

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kandi Stull's NPI number?

The NPI number for Kandi Stull is 1700411824. It was assigned to this individual provider in the NPPES registry on March 9, 2020.

Where is Kandi Stull located?

Kandi Stull practices at 3000 Polar Ln Ste 101, Cedar Park, TX 78613. The listed phone number is (844) 824-8775.

What is Kandi Stull's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Kandi Stull enrolled in Medicare?

Yes. Kandi Stull is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kandi Stull's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kandi Stull reassigns Medicare benefits to Faithful Therapy Tx Corporation (Fate, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kandi Stull's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kandi Stull accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 6 other insurers list Kandi Stull as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kandi Stull was last updated on September 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.