Sycamore Psychological, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

SYCAMORE PSYCHOLOGICAL, LLC

Practice address

4630 W Jefferson Blvd Ste 3
Fort Wayne, IN 46804-6800

Phone

(260) 238-0318

NPI assigned

Dec 31, 2021

Last updated

Dec 31, 2021By 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

Dr. Jenifer Schutte, PSYDNPI 1316355845

Title

Clinical Psychologist

Phone

(260) 446-2246

Specialties & licenses 2

Addresses

Practitioners 1

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.

• Jenifer Lynn Schutte, PSY.D.

  • Psychologist
  • Kirtland AFB, NM
  • NPI 1316355845
  Authorized official Same address or phone

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

{
    "created_epoch": "1640908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640908800000",
    "number": "1548921604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11403 SCHWARTZ RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468359738",
            "telephone_number": "260-446-2246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4630 W JEFFERSON BLVD STE 3",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468046800",
            "telephone_number": "260-238-0318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYCAMORE PSYCHOLOGICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-31",
        "last_updated": "2021-12-31",
        "certification_date": "2021-12-31",
        "status": "A",
        "authorized_official_last_name": "SCHUTTE",
        "authorized_official_first_name": "JENIFER",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "260-446-2246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trenton R Swoverland, P.T.
• Brittany Swygart, PT, DPT, CSRS
• Brittany Audra Swygart
• Rebecca Marie Swygart
• Sycamore Hills Dentistry
• Abrar Syed, OD
• Esa Syed
• Sykes Home Care, LLC
• Anna Sylvester, RD, LD
• Symphony Diagnostic Services No 1 LLC (MobilexUSA)

• Adult Mental Health Clinic/Center in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Adult Mental Health Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.