Active NPI
Kevin Theodore Schuler, PH.D.
- Psychologist
- Saint Louis, MO
National Provider Identifier
1275695942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY01084
- Practice address
- 50 Crestwood Executive Ctr
Suite 518
Saint Louis, MO 63126-1945 - Phone
- (314) 842-3360
- Fax
- (314) 962-5102
- NPI assigned
- Dec 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | PY01084 | MO | Primary |
Addresses
Primary practice location
50 Crestwood Executive Ctr
Suite 518
Saint Louis, MO 63126-1945
Mailing address
50 Crestwood Executive Ctr
Suite 518
Saint Louis, MO 63126-1945
Phone (314) 842-3360
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120112000267 | MO | Practitioner - Clinical Psychologist | 8729255815 | Practice locations: Saint Louis, MO |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
50 Crestwood Executive Ctr
Saint Louis, MO 63126-1948
Phone (314) 842-3360
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY01084 | MO | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275695942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 CRESTWOOD EXECUTIVE CTR",
"address_2": "SUITE 518",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631261945",
"telephone_number": "314-842-3360",
"fax_number": "314-962-5102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 CRESTWOOD EXECUTIVE CTR",
"address_2": "SUITE 518",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631261945",
"telephone_number": "314-842-3360",
"fax_number": "314-962-5102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHULER",
"first_name": "KEVIN",
"middle_name": "THEODORE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MO",
"license": "PY01084",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.