Individual provider Active NPI

Victoria Ann Schultz, ANP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Albany, NY
National Provider Identifier
1700300233
Registry record updated Jul 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F402192 Issued in NY
Practice address
391 Western Ave
Albany, NY 12203-1401
Phone
(518) 242-4731
NPI assigned
Jul 26, 2017
Last updated
Jul 26, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F305221 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F402192 NY Primary

Addresses

Primary practice location

391 Western Ave
Albany, NY 12203-1401

Mailing address

26 Patroon Pointe Dr
Rensselaer, NY 12144-8438
Phone (631) 766-2902

Other practice location 1

391 Western Ave
Albany, NY 12203-1401
Phone (518) 242-4731

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241205002112 NY Practitioner - Psychiatry 5092241760 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
State University of New York at Stony Brook, School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

405 Locust Ave
Oakdale, NY 11769-1651
Phone (631) 868-1244

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F305221NYMDAdult Health Nurse Practitioner
F402192NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Residences & Essential Enterprises, Inc. Current Accepting new patients
Family Residences and Essential Enterprises, Inc. CurrentSince Nov 1, 2024 Accepting new patients

Locations

405 Locust Ave
Oakdale, NY 11769
Phone (631) 567-3320

191 Bethpage Sweet Hollow Rd
Old Bethpage, NY 11804
Phone (516) 870-1665

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1501027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501027200000",
    "number": "1700300233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 PATROON POINTE DR",
            "city": "RENSSELAER",
            "state": "NY",
            "postal_code": "121448438",
            "telephone_number": "631-766-2902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 WESTERN AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122031401",
            "telephone_number": "518-242-4731"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "391 Western Ave",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122031401",
            "country_code": "US",
            "telephone_number": "518-242-4731",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "VICTORIA",
        "middle_name": "ANN",
        "credential": "ANP, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-26",
        "last_updated": "2017-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F305221",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F402192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.