Active NPI
Walter R. Schamber, PHD
- Psychologist
- Fairview, PA
National Provider Identifier
1083222848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS019044
- 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, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| PS019044 | PA | MD | Psychologist |
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.