Kyle Schultz PSYD LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

KYLE SCHULTZ PSYD LLC

Practice address

1420 Walnut St Ste 1207
Philadelphia, PA 19102-4012

Phone

(267) 225-5605

NPI assigned

Mar 21, 2024

Organization subpart

No

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

Authorized official

Name

Kyle J Schultz, PSYDNPI 1013326438

Title

Owner

Phone

(315) 532-2452

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Kyle Schultz, PSY.D.

  • Clinical Psychologist
  • Philadelphia, PA
  • NPI 1013326438
  NPD Authorized official

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

{
    "created_epoch": "1710979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710979200000",
    "number": "1972363315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 WALNUT ST STE 1207",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191024012",
            "telephone_number": "267-225-5605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 WALNUT ST STE 1207",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191024012",
            "telephone_number": "267-225-5605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KYLE SCHULTZ PSYD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-21",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-532-2452",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hyezo Kwun, MD
• Bonnie Ky, MD
• Andre Rashad Kydd, M.D., PH.D.
• Frederick Kyei
• Fred Kyem
• Brianna Marie Kyncl, PHYSICIAN ASSISTANT
• Kynncare Home & Community Based Services, Inc.
• Kyra Sjarif LLC
• Lisa S Kyriakatos, PA-C
• Ralph N Kyser III, LPC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; 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.