Individual provider Active NPI

Walter R. Schamber, PHD

  • Psychologist
  • Fairview, PA
National Provider Identifier
1083222848
Registry record updated Nov 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS019044 Issued in PA
Practice address
7359 W Ridge Rd Ste 1
Fairview, PA 16415-1169
Phone
(814) 790-8202
Fax
(888) 221-4661
NPI assigned
Jul 17, 2020
Last updated
Nov 11, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS019044 PA Primary

Addresses

Primary practice location

7359 W Ridge Rd Ste 1
Fairview, PA 16415-1169

Mailing address

6210 Brandy Run
Fairview, PA 16415-3308
Phone (814) 790-8202

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL TherapyAppointments.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201007000242 PA Practitioner - Psychologist Billing Independently 8527487727 Practice locations: Fairview, PA; Erie, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7359 W Ridge Rd
Suite 1
Fairview, PA 16415-1169
Phone (814) 790-8202

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PS019044PAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1594944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605052800000",
    "number": "1083222848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6210 BRANDY RUN",
            "city": "FAIRVIEW",
            "state": "PA",
            "postal_code": "164153308",
            "telephone_number": "814-790-8202",
            "fax_number": "888-221-4661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7359 W RIDGE RD STE 1",
            "city": "FAIRVIEW",
            "state": "PA",
            "postal_code": "164151169",
            "telephone_number": "814-790-8202",
            "fax_number": "888-221-4661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAMBER",
        "first_name": "WALTER",
        "middle_name": "R.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-17",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS019044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "TherapyAppointments.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1357 W 6th St",
            "city": "Erie",
            "state": "PA",
            "country_code": "US",
            "postal_code": "165052503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fairview, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.