SHARON LEWIS-BULTSMA PSY.D.
NPI 1578031399
Psychologist - Clinical in Fullerton, CA

Q: What is Sharon Lewis-bultsma's NPI number?

The NPI number for Sharon Lewis-bultsma is 1578031399. It was assigned to this individual provider in the NPPES registry on November 9, 2018.

Q: What is Sharon Lewis-bultsma's specialty?

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

Q: Is Sharon Lewis-bultsma enrolled in Medicare?

No. Sharon Lewis-bultsma has opted out of Medicare through November 25, 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.

Active since November 09, 2018Opted out of Medicare · through Nov 25, 2026

1012 E CHAPMAN AVE, FULLERTON, CA 92831(714) 931-2963 Get Directions Write a Review

NPPES record last updated: November 9, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Sharon Lewis-bultsma Psy.d. NPPES

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

SHARON LEWIS-BULTSMA PSY.D. (NPI 1578031399) is an individual clinical provider in Fullerton, California, licensed in California (PSY19732) and active in the NPI registry since November 2018. She has opted out of Medicare through November 25, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1578031399

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameSHARON LEWIS-BULTSMACredential: PSY.D.

Location Address1012 E CHAPMAN AVEFullerton, CA 92831-3812

Mailing Address1012 E Chapman AveFullerton, CA 92831-3812 · (714) 931-2963

Phone(714) 931-2963

Sole ProprietorYes

Enumeration DateNovember 9, 2018

✔ NPI 1578031399 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 CA · PSY19732

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.

1012 E CHAPMAN AVE, Fullerton, CA 92831

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Sharon Lewis-bultsma Psy.d. 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 November 25, 2018 through November 25, 2026.

Opt-Out Effective DateNovember 25, 2018

Opt-Out In Effect ThroughNovember 25, 2026Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92831 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

$187.60 typical visit price

range $62.96 – $187.60

Typical copayment $46.90 (range $15.74 – $46.90)

Most-billed visit code 99205

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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

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

DR. MARIBETH EKEY

Psychologist (Clinical)

1012 E CHAPMAN AVE
FULLERTON, CA 92831

Orange County (714) 992-0627

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 Sharon Lewis-bultsma's NPI number?

The NPI number for Sharon Lewis-bultsma is 1578031399. It was assigned to this individual provider in the NPPES registry on November 9, 2018.

Where is Sharon Lewis-bultsma located?

Sharon Lewis-bultsma practices at 1012 E Chapman Ave, Fullerton, CA 92831. The listed phone number is (714) 931-2963.

What is Sharon Lewis-bultsma's specialty?

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

Is Sharon Lewis-bultsma enrolled in Medicare?

No. Sharon Lewis-bultsma has opted out of Medicare through November 25, 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 Sharon Lewis-bultsma was last updated on November 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.