SAMUEL WALTER SCHULZE PMHNP-BC NPI 1134952625

NPI Information

  • NPI: 1134952625
  • Provider Name: SAMUEL WALTER SCHULZE, PMHNP-BC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 9845 ERMA RD STE 200
    SAN DIEGO, CA
    ZIP 92131
  • Phone: (616) 402-3028

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NPI Details

Samuel Walter Schulze, PMHNP-BC is a psychiatric/mental health nurse practitioner in San Diego, CA with 1 years of experience. Samuel Walter Schulze, PMHNP-BC NPI is 1134952625. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9845 ERMA RD STE 200
SAN DIEGO, CA
ZIP 92131-057
Phone: (616) 402-3028

The NPI 1134952625 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/21/2024 and was last updated on 3/17/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental Health14207560-4405UTAHNo
2363LP0808XNurse PractitionerPsychiatric/Mental Health350578ARIZONANo
3363LP0808XNurse PractitionerPsychiatric/Mental Health95031692CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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