Individual provider Active NPI

Amy Schullery, PSY.D.

  • Clinical Psychologist
  • Chadds Ford, PA
National Provider Identifier
1740539667
Registry record updated Jul 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS016686 Issued in PA
Practice address
5 Christy Dr Ste 207
Chadds Ford, PA 19317-9667
Phone
(610) 635-9641
NPI assigned
Sep 6, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS016686 PA
Clinical Psychologist 103TC0700X PS016686 PA Primary

Addresses

Primary practice location

5 Christy Dr Ste 207
Chadds Ford, PA 19317-9667

Mailing address

5 Christy Dr Ste 207
Chadds Ford, PA 19317-9667
Phone (610) 635-9641

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20150819007149 PA Practitioner - Clinical Psychologist 7416262522 Reassigns benefits to 1 organization
Practice locations: Glen Mills, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

26 Regency PLZ
Glen Mills, PA 19342-1001
Phone (610) 635-9641

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Amy Schullery, Psy.D., LLC Psychologist CurrentSince May 1, 2018 Accepting new patients

Locations

5 Christy Dr
Ste 207
Chadds Ford, PA 19317
Phone (484) 841-6725

26 Regency Plz
Glen Mills, PA 19342
Phone (610) 635-9641

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": "1346889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784937600000",
    "number": "1740539667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CHRISTY DR STE 207",
            "city": "CHADDS FORD",
            "state": "PA",
            "postal_code": "193179667",
            "telephone_number": "610-635-9641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 CHRISTY DR STE 207",
            "city": "CHADDS FORD",
            "state": "PA",
            "postal_code": "193179667",
            "telephone_number": "610-635-9641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULLERY",
        "first_name": "AMY",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-06",
        "last_updated": "2026-07-25",
        "certification_date": "2026-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS016686",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS016686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chadds Ford, PA

Sources for this page

Verify at the official NPI Registry.