Organization Active NPI

Barbara Ann Shultz, PHD, Psychologist, PLLC

  • Community/Behavioral Health Agency
  • Quogue, NY
National Provider Identifier
1629604897
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on May 16, 2023

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.