Organization Active NPI

Marcia Schultz, Psy.D., Inc.

  • Psychologist
  • Coral Springs, FL
National Provider Identifier
1861589145
Registry record updated Dec 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY4717 Issued in FL
Legal business name
MARCIA SCHULTZ, PSY.D., INC.
Practice address
3111 N University Dr
400
Coral Springs, FL 33065-5086
Phone
(954) 649-1957
Fax
(954) 752-9562
NPI assigned
Oct 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2010

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

Authorized official

Name
Dr. Marcia Schultz, PSY.D.NPI 1194812792
Title
Psychologist
Phone
(954) 649-1957

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X PY4717 FL Primary

Addresses

Primary practice location

3111 N University Dr
400
Coral Springs, FL 33065-5086

Mailing address

9951 NW 38TH St
Coral Springs, FL 33065-2830
Phone (954) 752-7707

Other identifiers 1

IdentifierTypeStateIssuer
73941OtherFLBLUE CROSS

National Provider Directory

National Provider Directory

Locations

2855 N University Dr
Ste 500
Coral Springs, FL 33065
Phone (954) 340-7717

1801 N University Dr
Ste 206
Coral Springs, FL 33071
Phone (954) 345-2292

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291939200000",
    "number": "1861589145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9951 NW 38TH ST",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330652830",
            "telephone_number": "954-752-7707",
            "fax_number": "954-752-9562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 N UNIVERSITY DR",
            "address_2": "400",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330655086",
            "telephone_number": "954-649-1957",
            "fax_number": "954-752-9562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCIA SCHULTZ, PSY.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2010-12-10",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "954-649-1957",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY4717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "73941",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.