Active NPI
Justin Schulz, PHD
- Psychologist
- Lakewood, CO
National Provider Identifier
1114992138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 603
- Practice address
- 7950 W Mississippi Ave
Lakewood, CO 80226-4326 - Phone
- (303) 986-4511
- Fax
- (303) 986-0828
- NPI assigned
- Feb 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 603 | CO | Primary |
Addresses
Primary practice location
7950 W Mississippi Ave
Lakewood, CO 80226-4326
Mailing address
2185 Broadway
Denver, CO 80205-2534
Phone (303) 296-2244
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07006034 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 603 | CO | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269561600000",
"number": "1114992138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2185 BROADWAY",
"city": "DENVER",
"state": "CO",
"postal_code": "802052534",
"telephone_number": "303-296-2244",
"fax_number": "303-296-1709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7950 W MISSISSIPPI AVE",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802264326",
"telephone_number": "303-986-4511",
"fax_number": "303-986-0828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHULZ",
"first_name": "JUSTIN",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-22",
"last_updated": "2010-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CO",
"license": "603",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07006034",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.