Individual provider Active NPI

Kevin Theodore Schuler, PH.D.

  • Psychologist
  • Saint Louis, MO
National Provider Identifier
1275695942
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY01084 Issued in MO
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
PY01084MOMDPsychologist

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

Verify at the official NPI Registry.