NPI 1053139808

Nickolaus H Gastil, PSYCH

Practitioner Clinical Psychologist Bloomington, IN

Practice location

Address: 645 S Rogers St, Bloomington, IN 47403-2353
Phone: (812) 314-3400
Fax: (812) 337-2438
Mailing address: 4645 Bellsville Pike, Nashville, IN 47448-9090

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 20043859A (IN)

Other Psychologist providers in Indiana →

Registry record

NPI: 1053139808
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Oct 2024
Record last updated: 22 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.