Individual provider Active NPI

Laura Schwent Shultz, PSY.D.

  • Clinical Psychologist
  • Bartlett, TN
National Provider Identifier
1790193795
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3126 Issued in TN
Practice address
6570 Summer Oaks CV
Bartlett, TN 38134-2857
Phone
(901) 373-7100
Fax
(901) 842-0020
NPI assigned
Jul 23, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3126 TN Primary
Clinical Psychologist 103TC0700X 601064 MS

Addresses

Primary practice location

6570 Summer Oaks CV
Bartlett, TN 38134-2857

Mailing address

1211 Union Ave Ste 330
Memphis, TN 38104-6655

Other practice location 1

3950 New Covington Pike Ste 110
Memphis, TN 38128-2595
Phone (901) 387-2900

Other practice location 2

9047 Poplar Ave Ste 105
Germantown, TN 38138-6401
Phone (901) 752-2300

Other practice location 3

5480 Goodman Rd Ste 1
Olive Branch, MS 38654-7902
Phone (662) 874-6507

Other practice location 4

76 Capital Way Ste C
Atoka, TN 38004-6866
Phone (901) 840-1202

Other identifiers 3

IdentifierTypeStateIssuer
6187679OtherTNBCBS BEHAVIORAL HEALTH
6191083OtherTNBCBS MEDICAL
Q008612MedicaidTN

Other names 1

  • Dr. Laura Anne Schwent Shultz Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20141028002255 TN Practitioner - Clinical Psychologist 4284855651 Reassigns benefits to 1 organization
I20251022001890 MS Practitioner - Clinical Psychologist 4284855651 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Primary Care Group, LLCGroup PAC ID 0941480131, 108 clinicians

Practice addresses (Care Compare)

3950 New Covington Pike
Suite 110
Memphis, TN 38128-2595
Phone (901) 387-2900

5480 Goodman Rd
Suite 1
Olive Branch, MS 38654-7902
Phone (662) 874-6507

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
601064MSMDClinical Psychologist
3126TNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Group LLC CurrentSince Apr 22, 2019 Accepting new patients
Methodist Healthcare - Memphis Hospitals Past Accepting new patients

Locations

7235 Hacks Cross Rd
Olive Branch, MS 38654
Phone (662) 893-7878

5480 Goodman Rd
Ste 1
Olive Branch, MS 38654
Phone (662) 874-6507

76 Capital Way
Ste C
Atoka, TN 38004
Phone (901) 837-6674

6570 Summer Oaks Cv
Bartlett, TN 38134
Phone (901) 373-7100

9047 Poplar Ave
Ste 105
Germantown, TN 38138
Phone (901) 752-2300

2961 Canada Rd
Ste 105
Lakeland, TN 38002
Phone (901) 388-0115

1211 Union Ave
Ste 330
Memphis, TN 38104
Phone (901) 478-0954

3950 New Covington Pike
Ste 110
Memphis, TN 38128
Phone (901) 387-2900

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 and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1406073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1790193795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 UNION AVE STE 330",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381046655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6570 SUMMER OAKS CV",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381342857",
            "telephone_number": "901-373-7100",
            "fax_number": "901-842-0020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3950 New Covington Pike Ste 110",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381282595",
            "country_code": "US",
            "telephone_number": "901-387-2900",
            "fax_number": "901-384-1645",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9047 Poplar Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "TN",
            "postal_code": "381386401",
            "country_code": "US",
            "telephone_number": "901-752-2300",
            "fax_number": "901-752-2367",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5480 Goodman Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Olive Branch",
            "state": "MS",
            "postal_code": "386547902",
            "country_code": "US",
            "telephone_number": "662-874-6507",
            "fax_number": "662-932-8197",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "76 Capital Way Ste C",
            "address_purpose": "LOCATION",
            "city": "Atoka",
            "state": "TN",
            "postal_code": "380046866",
            "country_code": "US",
            "telephone_number": "901-840-1202",
            "fax_number": "901-840-1204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHULTZ",
        "first_name": "LAURA",
        "middle_name": "SCHWENT",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-23",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "3126",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MS",
            "license": "601064",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS BEHAVIORAL HEALTH",
            "identifier": "6187679",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MEDICAL",
            "identifier": "6191083",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q008612",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "SCHWENT SHULTZ",
            "middle_name": "ANNE",
            "prefix": "DR.",
            "credential": "PSYD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Bartlett, TN

Sources for this page

Verify at the official NPI Registry.