CAMMI SHOULTZ DLLP
NPI 1932074911
Psychologist in Oak Park, MI

Active since October 08, 2025PECOS Enrolled
25900 GREENFIELD RD STE 100, OAK PARK, MI 48237(248) 788-4300(248) 605-8099 Get Directions Write a Review

NPPES record last updated: October 8, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Cammi Shoultz Dllp NPPES

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

CAMMI SHOULTZ DLLP (NPI 1932074911) is an individual psychologist in Oak Park, Michigan, licensed in Michigan (6351004839) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS and is a graduate of Nova Southeastern College Of Osteo Medicine (2023).

NPPES Registry Identity

NPI1932074911
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameCAMMI SHOULTZCredential: DLLP
Location Address25900 GREENFIELD RD STE 100Oak Park, MI 48237-1297
Mailing Address25900 Greenfield Rd Ste 100Oak Park, MI 48237-1297 · (248) 788-4300 · Fax (248) 605-8099
Fax(248) 605-8099
Sole ProprietorNo
Medical School CMSNova Southeastern College Of Osteo MedicineGraduated 2023
Enumeration DateOctober 8, 2025
NPPES CertifiedOctober 8, 2025
✔ NPI 1932074911 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 MI · 6351004839
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.
25900 GREENFIELD RD STE 100, Oak Park, MI 48237

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cammi Shoultz Dllp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4183116833
PECOS Enrollment IDI20251120003422
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 Cammi Shoultz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community/Behavioral Health
25900 GREENFIELD RD, SUITE 100
Oak Park, MI 48237
  • Reassigned Medicare billing, Michigan enrollment
  • 16 clinicians in this Medicare group

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

Other Providers at the Same Location NPPES 17

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

Occupational Therapist
25900 GREENFIELD RD STE 100
OAK PARK, MI 48237
Psychologist
25900 GREENFIELD RD STE 100
OAK PARK, MI 48237
Physical Therapist
25900 GREENFIELD RD STE 100
OAK PARK, MI 48237
Social Worker (Clinical)
25900 GREENFIELD RD STE 100
OAK PARK, MI 48237
Occupational Therapist
25900 GREENFIELD RD STE 100
OAK PARK, MI 48237
Physical Therapist
25900 GREENFIELD RD STE 100
OAK PARK, MI 48237
Psychologist
25900 GREENFIELD RD STE 100
OAK PARK, MI 48237
Occupational Therapist
25900 GREENFIELD RD STE 100
OAK PARK, MI 48237

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 Cammi Shoultz's NPI number?

The NPI number for Cammi Shoultz is 1932074911. It was assigned to this individual provider in the NPPES registry on October 8, 2025.

Where is Cammi Shoultz located?

Cammi Shoultz practices at 25900 Greenfield Rd Ste 100, Oak Park, MI 48237. The listed phone number is (248) 788-4300.

What is Cammi Shoultz's specialty?

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

Is Cammi Shoultz enrolled in Medicare?

Yes. Cammi Shoultz is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Cammi Shoultz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cammi Shoultz reassigns Medicare benefits to Life Skills Village, PLLC (Oak Park, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Cammi Shoultz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cammi Shoultz accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company, Priority Health and UnitedHealthcare list Cammi Shoultz as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cammi Shoultz was last updated on October 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.