Michelle Suzanne Schultz, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6633 Issued in OH

Practice address

9 N Edwin C Moses Blvd
Dayton, OH 45402-8470

Phone

(937) 775-4333

Fax

(937) 775-4323

NPI assigned

Mar 29, 2011

Last updated

Mar 29, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• University Psychological Services Association

  • Clinical Psychologist
  • Dayton, OH
  • NPI 1760483135
  NPD (past) Authorized official

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

{
    "created_epoch": "1301356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301356800000",
    "number": "1972892180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 WOODMAN DR",
            "address_2": "SUITE 225",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454321446",
            "telephone_number": "937-254-9210",
            "fax_number": "937-254-9267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 N EDWIN C MOSES BLVD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454028470",
            "telephone_number": "937-775-4333",
            "fax_number": "937-775-4323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "MICHELLE",
        "middle_name": "SUZANNE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-29",
        "last_updated": "2011-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "6633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Schultz, DO
• Connie Schultz, CTRS
• Diana D Schultz, MSED PCC
• Meghan Schultz, LPC
• Melinda A Schultz, LISW
• Moncia M Schultz
• Ruth Schultz
• Sydney Schultz, PHARMD
• Christen Schulz
• Ali Schulze

• Psychologist in Dayton, OH
• Providers in Dayton, OH by specialty
• Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; 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.