Active NPI
Barbara Ann Shultz, PH.D.
- Psychologist
- Hauppauge, NY
National Provider Identifier
1215041447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 0015580-1
- Practice address
- 120 Plant Ave
Hauppauge, NY 11788-3805 - Phone
- (631) 273-1300
- Fax
- (631) 273-4342
- NPI assigned
- Aug 17, 2006
- Sex
- Female
- 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 | 0015580-1 | NY | Primary |
Addresses
Primary practice location
120 Plant Ave
Hauppauge, NY 11788-3805
Mailing address
120 Plant Ave
Hauppauge, NY 11788-3805
Phone (631) 273-1300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
300 Cadman PLZ W
Brooklyn, NY 11201-3211
Phone (888) 515-3834
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0015580-1 | NY | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Psychologist | Current | Accepting new patients |
| Long Island Select Healthcare, Inc. | Current | Accepting new patients | |
| Long Island Select Healthcare, Inc. | Current | Accepting new patients | |
| Skills Unlimited, Inc. | Past | Accepting new patients |
Locations
159 Carleton Ave
Central Islip, NY 11722
Phone (631) 439-4300
120 Plant Ave
Hauppauge, NY 11788
Phone (631) 273-1300
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CCJFAD
- barbarashultz@tdh.allscriptsdirect.net
Organizations & group practices 6
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.
-
- Clinical Psychologist
- Brooklyn, NY
- NPI 1023078219
-
- Federally Qualified Health Center (FQHC)
- Central Islip, NY
- NPI 1043663107
-
- Clinical Psychologist
- Brooklyn, NY
- NPI 1043248776
-
- Developmental Disabilities Clinic/Center
- Manorville, NY
- NPI 1699220582
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Psychologist
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Oakdale, NY
- NPI 1487789392
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217462400000",
"number": "1215041447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 PLANT AVE",
"city": "HAUPPAUGE",
"state": "NY",
"postal_code": "117883805",
"telephone_number": "631-273-1300",
"fax_number": "631-273-4342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 PLANT AVE",
"city": "HAUPPAUGE",
"state": "NY",
"postal_code": "117883805",
"telephone_number": "631-273-1300",
"fax_number": "631-273-4342"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHULTZ",
"first_name": "BARBARA ANN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-17",
"last_updated": "2008-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "0015580-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hauppauge, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.