Individual provider Active NPI

Carol Schober, PSYD

  • Clinical Psychologist
  • Cherry Hill, NJ
National Provider Identifier
1083704308
Registry record updated Jul 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35S100433200 Issued in NJ
Practice address
811 Church Rd Ste 114
Cherry Hill, NJ 08002-1459
Phone
(856) 672-5900
Fax
(856) 672-5901
NPI assigned
Oct 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 35S100433200 NJ Primary

Addresses

Primary practice location

811 Church Rd Ste 114
Cherry Hill, NJ 08002-1459

Mailing address

PO Box 367
Haddon Heights, NJ 08035-0367
Phone (856) 546-0134

Other practice location 1

402 10th Ave
Haddon Heights, NJ 08035-1838
Phone (609) 706-0537

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130924000699 NJ Practitioner - Clinical Psychologist 6507000916 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Philadelphia College of Osteopathic Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

811 Church Rd
Suite 114
Cherry Hill, NJ 08002-1459
Phone (856) 672-5900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35S100433200NJMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Carol Schober PSYD, LLC CurrentSince Apr 29, 2019 Accepting new patients

Locations

811 Church Rd
Ste 114
Cherry Hill, NJ 08002
Phone (856) 672-5900

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562544000000",
    "number": "1083704308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 367",
            "city": "HADDON HEIGHTS",
            "state": "NJ",
            "postal_code": "080350367",
            "telephone_number": "856-546-0134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 CHURCH RD STE 114",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080021459",
            "telephone_number": "856-672-5900",
            "fax_number": "856-672-5901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "402 10th Ave",
            "address_purpose": "LOCATION",
            "city": "Haddon Heights",
            "state": "NJ",
            "postal_code": "080351838",
            "country_code": "US",
            "telephone_number": "609-706-0537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHOBER",
        "first_name": "CAROL",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-15",
        "last_updated": "2019-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35S100433200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.