Active NPI
Renate Christine Schultz
- Clinical Psychologist
- Vancouver, WA
National Provider Identifier
1295086221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY60584159
- Practice address
- 9340 NE 76TH Street
Vancouver, WA 98662 - Phone
- (707) 302-0338
- Fax
- (253) 793-0338
- NPI assigned
- Oct 1, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY60584159 | WA | Primary |
Addresses
Primary practice location
9340 NE 76TH Street
Vancouver, WA 98662
Mailing address
2522 N Proctor St Ste 448
Tacoma, WA 98406-5338
Phone (707) 302-8233
Other practice location 1
9340 NE 76th St
Vancouver, WA 98662-3721
Phone (360) 253-4912
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608249600000",
"number": "1295086221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2522 N PROCTOR ST STE 448",
"city": "TACOMA",
"state": "WA",
"postal_code": "984065338",
"telephone_number": "707-302-8233",
"fax_number": "253-793-0338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9340 NE 76TH STREET",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "98662",
"telephone_number": "707-302-0338",
"fax_number": "253-793-0338"
}
],
"practiceLocations": [
{
"address_1": "9340 NE 76th St",
"address_purpose": "LOCATION",
"city": "Vancouver",
"state": "WA",
"postal_code": "986623721",
"country_code": "US",
"telephone_number": "360-253-4912",
"fax_number": "360-253-5170",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHULTZ",
"first_name": "RENATE",
"middle_name": "CHRISTINE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-01",
"last_updated": "2020-12-18",
"certification_date": "2020-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WA",
"license": "PY60584159",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.