Active NPI
Samantha Jodie Schulman, PSYD
- Psychologist
- Lakewood, NJ
National Provider Identifier
1518577436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 35SI00612200
- Practice address
- 1771 Madison Ave
Lakewood, NJ 08701-1242 - Phone
- (732) 364-6666
- NPI assigned
- Aug 5, 2020
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 35SI00612200 | NJ | Primary |
Addresses
Primary practice location
1771 Madison Ave
Lakewood, NJ 08701-1242
Mailing address
1771 Madison Ave
Lakewood, NJ 08701-1242
Phone (732) 364-6666
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 27, 2026 through Feb 27, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35SI00612200 | NJ | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596585600000",
"number": "1518577436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1771 MADISON AVE",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087011242",
"telephone_number": "732-364-6666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1771 MADISON AVE",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087011242",
"telephone_number": "732-364-6666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHULMAN",
"first_name": "SAMANTHA",
"middle_name": "JODIE",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-05",
"last_updated": "2020-08-05",
"certification_date": "2020-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": "NJ",
"license": "35SI00612200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.