Individual provider Active NPI

Richard Eliot Schultz, PH.D.

  • Clinical Psychologist
  • Atlanta, GA
National Provider Identifier
1811909658
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
GAPSY2621 Issued in GA
Practice address
18 Lenox Pointe NE
Suite a
Atlanta, GA 30324-3168
Phone
(404) 277-8690
Fax
(404) 261-5633
NPI assigned
Aug 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X GAPSY2621 GA Primary

Addresses

Primary practice location

18 Lenox Pointe NE
Suite a
Atlanta, GA 30324-3168

Mailing address

PO Box 95842
Atlanta, GA 30347-0842
Phone (404) 277-8690

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: No
  • 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
I20041001000585 GA Practitioner - Clinical Psychologist 3577532969 Practice locations: Atlanta, GA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
GAPSY2621GAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Brian S Bortnick, M.D., PC Past Accepting new patients
J. Stephen McDaniel, MD, PC Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1811909658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95842",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303470842",
            "telephone_number": "404-277-8690",
            "fax_number": "404-261-5633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 LENOX POINTE NE",
            "address_2": "SUITE A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303243168",
            "telephone_number": "404-277-8690",
            "fax_number": "404-261-5633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "RICHARD",
        "middle_name": "ELIOT",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "GAPSY2621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.