Kyle Schultz, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS017570 Issued in PA

Practice address

1420 Walnut St Ste 1207
Philadelphia, PA 19102-4012

Phone

(267) 225-5606

NPI assigned

Aug 11, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Kyle Schultz PSYD LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Philadelphia, PA
  • NPI 1972363315
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1407715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1013326438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 WALNUT ST STE 1207",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191024012",
            "telephone_number": "267-225-5606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 WALNUT ST STE 1207",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191024012",
            "telephone_number": "267-225-5606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "KYLE",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-11",
        "last_updated": "2024-03-21",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS017570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Elaine Schultheiss, MD
• Joshua Jeffrey Schultice, MS,BCBA,LBS
• Baergen Schultz, LCGC
• Cynthia Marie Schultz, M.D.
• Emily Morgan Schultz, MD
• Patricia J Schultz, CRNP
• Rebecca Schultz, PA-C
• Samuel Eliot Goldberg Schultz, MD
• Sara Keely Schultz, M.D.
• Thomas Schultz, PHARMD

• Clinical Psychologist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; 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.