Individual provider Active NPI

Daniel L Schulte, PHD

  • Clinical Psychologist
  • Mesa, AZ
National Provider Identifier
1043254782
Registry record updated Aug 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3608 Issued in AZ
Practice address
1845 S Dobson Rd
Suite 213
Mesa, AZ 85202-5661
Phone
(480) 332-7981
Fax
(480) 820-0239
NPI assigned
Jun 15, 2006
Last updated
Aug 2, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3608 AZ Primary

Addresses

Primary practice location

1845 S Dobson Rd
Suite 213
Mesa, AZ 85202-5661

Mailing address

1845 S Dobson Rd
Suite 213
Mesa, AZ 85202-5661
Phone (480) 332-7981

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121022000636 AZ Practitioner - Clinical Psychologist 2668622929 Practice locations: Mesa, AZ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1845 S Dobson Rd
Mesa, AZ 85202-5663
Phone (480) 332-7981

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
3608AZMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343865600000",
    "number": "1043254782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 S DOBSON RD",
            "address_2": "SUITE 213",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852025661",
            "telephone_number": "480-332-7981",
            "fax_number": "480-820-0239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 S DOBSON RD",
            "address_2": "SUITE 213",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852025661",
            "telephone_number": "480-332-7981",
            "fax_number": "480-820-0239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTE",
        "first_name": "DANIEL",
        "middle_name": "L",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2012-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "3608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.