Active NPI
Norman Mark Shulman, ED.D.
- Clinical Psychologist
- Lubbock, TX
National Provider Identifier
1568484277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 24018
- Practice address
- 4401 A 6TH St
Lubbock, TX 79416 - Phone
- (806) 793-7491
- Fax
- (806) 793-4780
- NPI assigned
- Jul 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 24018 | TX | Primary |
| Clinical Psychologist | 103TC0700X | 216 | NH |
Addresses
Primary practice location
4401 A 6TH St
Lubbock, TX 79416
Mailing address
4401 6TH St. a
Lubbock, TX 79416-4700
Phone (806) 793-7491
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 098515202 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110628000677 | TX | Practitioner - Clinical Psychologist | 5294927257 | Practice locations: Lubbock, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Boston University School of Medicine, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
4401 6TH St
Suite a
Lubbock, TX 79416-4700
4401 6TH St a
Lubbock, TX 79416-4700
Phone (806) 793-7491
4401 A 6TH St
Lubbock, TX 79416-4700
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 216 | NH | MD | Clinical Psychologist |
| 24018 | TX | MD | General Practice Dentistry |
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Univeristy Medical Center
- Land Ambulance
- Lubbock, TX
- NPI 1174620546
Hospital
-
dba University Medical Center
- Ambulatory Surgical Clinic/Center
- Lubbock, TX
- NPI 1538245717
Hospital
-
dba University Medical Center Pharmacy
- Community/Retail Pharmacy
- Lubbock, TX
- NPI 1679521652
Hospital
-
dba University Medical Center
- General Acute Care Hospital
- Lubbock, TX
- NPI 1821087164
-
dba Univeristy Medical Center
- Hearing and Speech Clinic/Center
- Lubbock, TX
- NPI 1831299114
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314921600000",
"number": "1568484277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4401 6TH ST. A",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794164700",
"telephone_number": "806-793-7491",
"fax_number": "806-793-4780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4401 A 6TH ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "79416",
"telephone_number": "806-793-7491",
"fax_number": "806-793-4780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHULMAN",
"first_name": "NORMAN",
"middle_name": "MARK",
"name_prefix": "Dr.",
"credential": "ED.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2011-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "24018",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NH",
"license": "216",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "098515202",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.