Laura Anne Van Schaick-Harman, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

019611 Issued in NY

Practice address

414 S Service Rd # 174
Patchogue, NY 11772-2254

Phone

(631) 484-9679

Fax

(888) 972-4072

NPI assigned

Jun 20, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Sep 18, 2017 through Sep 18, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1013202944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 S SERVICE RD # 174",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117722254",
            "telephone_number": "631-484-9679",
            "fax_number": "888-972-4072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 S SERVICE RD # 174",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117722254",
            "telephone_number": "631-484-9679",
            "fax_number": "888-972-4072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN SCHAICK-HARMAN",
        "first_name": "LAURA",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-20",
        "last_updated": "2024-04-03",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "019611",
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NY",
            "license": "918063",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ikemesit Udo-Bellner
• Eleanore A Uneberg, ANP
• Stephan E Ungar, PT
• Kristie Marie Urdahl, LCSW
• Lisa Valle
• Stephanie Lauren Vanschaick, DPT
• Raja Gunturi Varma, MD
• Melissa A. Varveris, SLP
• Vascular Surgery Associate of Suffolk County, PLLC
• Carol Vasquez, BS RPH

• Psychologist in Patchogue, NY
• Providers in Patchogue, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.