KENNETH A SHULTZ EDD PS
NPI 1568444776
Psychologist in Vancouver, WA

Active since November 15, 2005
7600 NE 41ST ST, #310, VANCOUVER, WA 98662(360) 567-1665(360) 253-3196 Get Directions Write a Review

NPPES record last updated: October 30, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kenneth A Shultz Edd Ps NPPES

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

KENNETH A SHULTZ EDD PS (NPI 1568444776) is a healthcare organization registered as a psychologist in Vancouver, Washington and active in the NPI registry since November 2005. The organization lists Kenneth A Shultz, President, as its authorized official.

NPPES Registry Identity

NPI1568444776
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameKENNETH A SHULTZ EDD PS
Location Address7600 NE 41ST ST, #310Vancouver, WA 98662-6728
Mailing Address7600 Ne 41st St, #310Vancouver, WA 98662-6728 · (360) 567-1665 · Fax (360) 253-3196
Fax(360) 253-3196
Organization SubpartNo
Authorized OfficialKenneth A ShultzPresident · (360) 567-1665
Enumeration DateNovember 15, 2005
Last NPPES UpdateOctober 30, 2007
NPI 1568444776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in WA · PSY760
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
7600 NE 41ST ST, Vancouver, WA 98662

Other Identifiers 2

Medicare PINGAB25691WA
Medicare UPINR11692

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

Psychologist (Forensic)
7600 NE 41ST ST, SUITE 310
VANCOUVER, WA 98662
Psychologist (Clinical)
7600 NE 41ST ST, SUITE 310
VANCOUVER, WA 98662
Psychologist
7600 NE 41ST ST, #310
VANCOUVER, WA 98662
Nurse Practitioner (Psychiatric/Mental Health)
7600 NE 41ST ST, SUITE 310
VANCOUVER, WA 98662
Psychologist (Clinical)
7600 NE 41ST ST, SUITE 310
VANCOUVER, WA 98662
Nurse Practitioner (Psychiatric/Mental Health)
7600 NE 41ST ST, SUITE 310
VANCOUVER, WA 98662
Social Worker (Clinical)
7600 NE 41ST ST
VANCOUVER, WA 98662
Nurse Practitioner (Psychiatric/Mental Health)
7600 NE 41ST ST, SUITE 310
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 A Shultz Edd Ps's NPI number?

The NPI number for Kenneth A Shultz Edd Ps is 1568444776. It was assigned to this organization in the NPPES registry on November 15, 2005.

Where is Kenneth A Shultz Edd Ps located?

Kenneth A Shultz Edd Ps is located at 7600 NE 41st St #310, Vancouver, WA 98662. The listed phone number is (360) 567-1665.

What is Kenneth A Shultz Edd Ps's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Kenneth A Shultz Edd Ps was last updated on October 30, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.