Active NPI
Barbara Ann Shultz, PHD, Psychologist, PLLC
- Community/Behavioral Health Agency
- Quogue, NY
National Provider Identifier
1629604897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- BARBARA ANN SHULTZ, PHD, PSYCHOLOGIST, PLLC
- Practice address
- 41 Lamb Ave
Quogue, NY 11959-4249 - Phone
- (631) 379-9307
- NPI assigned
- Mar 19, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Barbara Ann Shultz, PH.D.
- Title
- Psychologist
- Phone
- (631) 379-9307
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
41 Lamb Ave
Quogue, NY 11959-4249
Mailing address
PO Box 352
Quogue, NY 11959-0352
Phone (631) 379-9307
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584576000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684195200000",
"number": "1629604897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 352",
"city": "QUOGUE",
"state": "NY",
"postal_code": "119590352",
"telephone_number": "631-379-9307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 LAMB AVE",
"city": "QUOGUE",
"state": "NY",
"postal_code": "119594249",
"telephone_number": "631-379-9307"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BARBARA ANN SHULTZ, PHD, PSYCHOLOGIST, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-19",
"last_updated": "2023-05-16",
"certification_date": "2023-05-16",
"status": "A",
"authorized_official_last_name": "SHULTZ",
"authorized_official_first_name": "BARBARA ANN",
"authorized_official_title_or_position": "PSYCHOLOGIST",
"authorized_official_telephone_number": "631-379-9307",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Quogue, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.