Individual provider Active NPI

Peter Dean Schulman, PH.D, PSY.D

  • Clinical Psychologist
  • Boynton Beach, FL
National Provider Identifier
1699763789
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY5017 Issued in FL
Practice address
10301 Hagen Ranch Rd Ste B200
Boynton Beach, FL 33437-3723
Phone
(561) 752-9490
Fax
(561) 752-9491
NPI assigned
Oct 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY5017 FL
Clinical Psychologist 103TC0700X PY5017 FL Primary

Addresses

Primary practice location

10301 Hagen Ranch Rd Ste B200
Boynton Beach, FL 33437-3723

Mailing address

1065 NE 125TH St Ste 300
North Miami, FL 33161-5833
Phone (888) 852-6672

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110630000408 FL Practitioner - Clinical Psychologist 9234317843 Practice locations: Boynton Beach, FL; Hollywood, FL; Margate, FL; Tamarac, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10301 Hagen Ranch Rd
Suite B6
Boynton Beach, FL 33437-3723
Phone (561) 752-9490

5901 NW 79TH Ave
Tamarac, FL 33321-4639
Phone (954) 722-7001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Health Systems of Tennessee Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: peter.schulman@chs1.eclinicaldirectplus.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1699763789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1065 NE 125TH ST STE 300",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331615833",
            "telephone_number": "888-852-6672",
            "fax_number": "786-235-6225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10301 HAGEN RANCH RD STE B200",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373723",
            "telephone_number": "561-752-9490",
            "fax_number": "561-752-9491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULMAN",
        "first_name": "PETER",
        "middle_name": "DEAN",
        "name_prefix": "Mr.",
        "credential": "PH.D, PSY.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY5017",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY5017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.