DR. KYLER SHUMWAY
NPI 1427414952
Psychologist - Clinical in Austin, TX

Q: What is Kyler Shumway's NPI number?

The NPI number for Kyler Shumway is 1427414952. It was assigned to this individual provider in the NPPES registry on January 13, 2016.

Q: What is Kyler Shumway's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Kyler Shumway was last updated on June 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 13, 2016PECOS Enrolled

508 DEEP EDDY AVE, AUSTIN, TX 78703(503) 403-9397 Get Directions Write a Review

NPPES record last updated: June 24, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 24, 2021, Jan 13, 2016 (2 updates tracked since 2016).

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About Dr. Kyler Shumway NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KYLER SHUMWAY (NPI 1427414952) is an individual clinical provider in Austin, Texas, licensed in Texas (38635) and active in the NPI registry since January 2016. He is enrolled in Medicare PECOS and maintains a secondary practice location in Newberg.

NPPES Registry Identity

NPI1427414952

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. KYLER SHUMWAY

Location Address508 DEEP EDDY AVEAustin, TX 78703-4555

Mailing Address508 Deep Eddy AveAustin, TX 78703-4555 · (503) 403-9397

Phone(503) 403-9397

Sole ProprietorNo

Enumeration DateJanuary 13, 2016

Last NPPES UpdateJune 24, 20212 updates tracked since enumeration

NPPES CertifiedJune 24, 2021

✔ NPI 1427414952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in TX · 38635

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

508 DEEP EDDY AVE, Austin, TX 78703

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Secondary Practice Location 1

Location 1414 N Meridian St, #V104Newberg, OR 97132-2697 · Phone (503) 403-9397

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kyler Shumway is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kyler Shumway reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Deep Eddy Psychotherapy Management, LLC

Same address

Counseling

508 DEEP EDDY AVE.
Austin, TX 78703

Reassigned Medicare billing, Texas enrollment
108 clinicians in this Medicare group

NPI 1457740862 (512) 956-6463

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78703 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$174.00 typical visit price

range $57.88 – $174.00

Typical copayment $43.50 (range $14.47 – $43.50)

Most-billed visit code 99205

Established Patient

$101.65 typical visit price

range $18.88 – $142.23

Typical copayment $25.41 (range $4.72 – $35.55)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GLENN RICHARD OLDS JR. PH.D.

Psychologist (Counseling)