Janet Schultz
Individual provider Active NPI School Psychologist · Marengo, IL
NPI 1417469644 · NPPES record last updated Oct 27, 2017
Key facts
- NPI
- 1417469644
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Psychologist 103TS0200X
- License
- 1892400 (IL)
- Practice address
- 816 E Grant Hwy
Marengo, IL 60152-3400 - Phone
- (845) 568-8323
- Fax
- (815) 568-8367
- NPI assigned
- Oct 27, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1892400 | IL | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marengo-Union Elementary Consolidated School District 165 | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 1892400 | IL | Yes |
Addresses
Primary practice location
816 E Grant Hwy
Marengo, IL 60152-3400
Mailing address
816 E Grant Hwy
Marengo, IL 60152-3400
Phone (845) 568-8323
Other providers in Marengo, IL
- Riley Community Cons School Dist #18
- Javier Ramiro Rodriguez
- Jon W Russell
- Saint Anthony Medical Center
- Janelle Jean Schultz
- Elizabeth E Siegfort
- Manfred Strohschein
- Swedishamerican Hospital
- Swedishamerican Hospital
- T Ahmad MD SC
All providers in Marengo, IL · School Psychologist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 27, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.