Carl John Schuster III, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS008677L Issued in PA

Practice address

1339 Main St Ste 5
Peckville, PA 18452-2095

Phone

(570) 383-5040

NPI assigned

Jan 5, 2007

Last updated

May 14, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Allied Services Institute of Rehabilitation Medicine

  • Skilled Nursing Facility
  • Scranton, PA
  • NPI 1790102622
  NPD (past)

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242259200000",
    "number": "1043367691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 WOODMERE AVE",
            "city": "OLYPHANT",
            "state": "PA",
            "postal_code": "184471141",
            "telephone_number": "570-383-5040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1339 MAIN ST STE 5",
            "city": "PECKVILLE",
            "state": "PA",
            "postal_code": "184522095",
            "telephone_number": "570-383-5040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUSTER",
        "first_name": "CARL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2009-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS008677L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanne Ryczak, RD CDE LDN
• Brady Savani, ATR-P, LAPC
• Kenneth W Savitski, O.D.
• Schoonover Eye Care, P.C.
• Rebecca Lynn Schoonover, O.D.
• Kwangsup K Sheen, MD
• Sheman Inc. (Martin's Pharmacy)
• Theresa Skotleski
• Kayla Marie Smith, LPC
• Thrift Drug Inc (Rite Aid Pharmacy #11067)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2009; 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.