Angelique Trynell Schultz, MS, MA, LADC

Primary specialty

Addiction (Substance Use Disorder) PsychologistTaxonomy code 103TA0400X

License

00714 Issued in VT

Practice address

476 Main St
Winooski, VT 05404-1300

Phone

(802) 343-5499

NPI assigned

Jun 29, 2016

Last updated

Dec 18, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts, Master of Science

State licenses

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

{
    "created_epoch": "1467158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513555200000",
    "number": "1639520786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "537 KELLOGG RD # 2",
            "city": "SAINT ALBANS",
            "state": "VT",
            "postal_code": "054787047",
            "telephone_number": "802-343-5499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "476 MAIN ST",
            "city": "WINOOSKI",
            "state": "VT",
            "postal_code": "054041300",
            "telephone_number": "802-343-5499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "ANGELIQUE",
        "middle_name": "TRYNELL",
        "name_prefix": "Ms.",
        "credential": "MS, MA, LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-29",
        "last_updated": "2017-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068.0126464",
            "primary": false
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "VT",
            "license": "00714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Ann Ryan, LADC
• Kelly Anne Rybicki, D.C.
• Frederick Rydz, M.D.
• Veronica Ann Salber, LMT, HHP
• Isabella Sances
• Joshua Shamoon, LICSW
• Tyler Sheil, DPT, PT
• Haley L Short, LCMHC, NCC
• Alice Siegriest, LICSW
• Eva Simon, MACP

• Addiction (Substance Use Disorder) Psychologist in Winooski, VT
• Providers in Winooski, VT by specialty
• Addiction (Substance Use Disorder) Psychologist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2017; 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.