DR. KENNETH A SHULTZ EDD
NPI 1285818732
Psychologist in Vancouver, WA
About Dr. Kenneth A Shultz Edd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KENNETH A SHULTZ EDD (NPI 1285818732) is an individual psychologist in Vancouver, Washington, licensed in Washington (PY760) and active in the NPI registry since December 2007. He has opted out of Medicare through October 1, 2026 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Kenneth A Shultz Edd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2016 through October 1, 2026.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
VANCOUVER, WA 98662
VANCOUVER, WA 98662
VANCOUVER, WA 98662
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kenneth Shultz's NPI number?
The NPI number for Kenneth Shultz is 1285818732. It was assigned to this individual provider in the NPPES registry on December 19, 2007.
Where is Kenneth Shultz located?
Kenneth Shultz practices at 7600 NE 41st St #310, Vancouver, WA 98662. The listed phone number is (360) 567-1665.
What is Kenneth Shultz's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Kenneth Shultz enrolled in Medicare?
No. Kenneth Shultz has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Kenneth Shultz was last updated on December 19, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.