Organization Active NPI

George O Schulz PHD Inc

  • Clinical Psychologist
  • Dublin, OH
National Provider Identifier
1891208138
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4777 Issued in OH
Legal business name
GEORGE O SCHULZ PHD INC
Practice address
4230 Tuller Rd
Dublin, OH 43017-5065
Phone
(614) 787-4182
NPI assigned
Nov 8, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
George O Schulz, PHDNPI 1780909788
Title
Ceo/Owner
Phone
(614) 787-4182

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
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 4777 OH Primary

Addresses

Primary practice location

4230 Tuller Rd
Dublin, OH 43017-5065

Mailing address

4230 Tuller Rd
Dublin, OH 43017-5065
Phone (614) 787-4182

Other names 2

  • George O Schulz PhD Former legal business name
  • George O Schulz PhD Inc Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171207003261 OH Part B Supplier - Clinic/Group Practice 4486911922 Receives reassigned benefits from 1 practitioner
Practice locations: Dublin, OH

National Provider Directory

National Provider Directory

Locations

4230 Tuller Rd
Ste 201
Dublin, OH 43017
Phone (614) 787-4182

4230 Tuller Rd
Dublin, OH 43017
Phone (614) 787-4182

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": "1510099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1891208138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4230 TULLER RD",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430175065",
            "telephone_number": "614-787-4182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4230 TULLER RD",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430175065",
            "telephone_number": "614-787-4182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE O SCHULZ PHD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-08",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "SCHULZ",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "614-787-4182",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "4777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "George O Schulz PhD",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "George O Schulz PhD Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Dublin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.