Active NPI
Bard Schatzman, PH.D.
- Clinical Psychologist
- Prescott Valley, AZ
National Provider Identifier
1083759716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 005275
- Practice address
- 7905 N Paradise Canyon LN
Prescott Valley, AZ 86315-9098 - Phone
- (630) 476-0410
- Fax
- (866) 386-1598
- NPI assigned
- Feb 20, 2007
- Last updated
- Aug 20, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 180-005757 | IL | |
| Clinical Psychologist | 103TC0700X | 005275 | AZ | Primary |
Addresses
Primary practice location
7905 N Paradise Canyon LN
Prescott Valley, AZ 86315-9098
Mailing address
7905 N Paradise Canyon LN
Prescott Valley, AZ 86315-9098
Phone (630) 476-0410
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180-005757 | IL | MD | Counselor |
| 005275 | AZ | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597881600000",
"number": "1083759716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7905 N PARADISE CANYON LN",
"city": "PRESCOTT VALLEY",
"state": "AZ",
"postal_code": "863159098",
"telephone_number": "630-476-0410",
"fax_number": "866-386-1598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7905 N PARADISE CANYON LN",
"city": "PRESCOTT VALLEY",
"state": "AZ",
"postal_code": "863159098",
"telephone_number": "630-476-0410",
"fax_number": "866-386-1598"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHATZMAN",
"first_name": "BARD",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-20",
"last_updated": "2020-08-20",
"certification_date": "2020-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IL",
"license": "180-005757",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AZ",
"license": "005275",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prescott Valley, AZ
- Sand Castle Counseling Inc
- Carol Lynn Sanderford, RN
- Thomas Lewis Sanio, D.C., B.S.
- Solomiia Savedchuk, MD
- Dolores Sawka, R.D.N.
- Julie Ann Schifferli, DC
- Scott Madsen M.S.P.T. Rehabilitation, Inc. (Madsen Physical Therapy)
- Nicole Scott
- Sean Reed (Horizon Dental Group- Prescott Valley)
- Brianna Nicole Sease, FNP BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.