Active NPI
Amy Schullery, PSY.D.
- Clinical Psychologist
- Chadds Ford, PA
National Provider Identifier
1740539667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS016686
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amy Schullery, Psy.D., LLC | Psychologist | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.