Dr. Carlene Shultz, P.C.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1510 Issued in OR

Legal business name

DR. CARLENE SHULTZ, P.C.

Practice address

1060 Leffelle St SE
Salem, OR 97302-2969

Phone

(503) 581-6032

NPI assigned

Oct 5, 2016

Last updated

Oct 5, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carlene ShultzNPI 1063515476

Title

President

Phone

(503) 581-6032

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carlene Kaliher Shultz, PSYD

  • Psychologist
  • Salem, OR
  • NPI 1063515476
  Medicare reassignment NPD Authorized official
• John Nance, PHD

  • Clinical Psychologist
  • Salem, OR
  • NPI 1982764650
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1475625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475625600000",
    "number": "1386194181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 LEFFELLE ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973022969",
            "telephone_number": "503-581-6032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 LEFFELLE ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973022969",
            "telephone_number": "503-581-6032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. CARLENE SHULTZ, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-05",
        "last_updated": "2016-10-05",
        "status": "A",
        "authorized_official_last_name": "SHULTZ",
        "authorized_official_first_name": "CARLENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-581-6032"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "1510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr Holli Gower LLC (Integrative Wellness Center)
• Dr Matt Turner LLC
• Dr Taloyo LLC
• Dr. Alton Rossman & Associates, Inc. (West Salem Vision Center)
• Dr. Brett Renquist D.C., L.Ac (Renquist Chiropractic and Acupuncture)
• Dr. John O. Renquist (Renquist Chiropractic Clinic)
• Dr. Linda a. Taylor ND, L.Ac,PC
• Dr. Vonny Ngantung (Northwest Orthodontic Specialists)
• Carol Lynn Draper, LCSW
• Leslie A Drapiza, M.D.

• Clinical Psychologist in Salem, OR
• Providers in Salem, OR by specialty
• Clinical Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.