Individual provider Active NPI

Robin O Scherm, PSYD

  • Clinical Psychologist
  • Woodstock, NY
National Provider Identifier
1144208265
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
009262 Issued in NY
Practice address
15 Pine Grove St
Woodstock Therapy Center
Woodstock, NY 12498-1507
Phone
(845) 679-5511
NPI assigned
Jan 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

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 009262 NY Primary

Addresses

Primary practice location

15 Pine Grove St
Woodstock Therapy Center
Woodstock, NY 12498-1507

Mailing address

PO Box 126
Willow, NY 12495
Phone (845) 679-5511

Other identifiers 3

IdentifierTypeStateIssuer
01057010MedicaidNY
13530OtherNYVALUE OPTIONS
Y006612OtherNYCHAMPUS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20100727000150 NY Practitioner - Clinical Psychologist 0648303776 Practice locations: Woodstock, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15 Pine Grove St
Woodstock, NY 12498-1507
Phone (845) 706-3035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009262NYMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1144208265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 126",
            "city": "WILLOW",
            "state": "NY",
            "postal_code": "12495",
            "telephone_number": "845-679-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 PINE GROVE ST",
            "address_2": "WOODSTOCK THERAPY CENTER",
            "city": "WOODSTOCK",
            "state": "NY",
            "postal_code": "124981507",
            "telephone_number": "845-679-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHERM",
        "first_name": "ROBIN",
        "middle_name": "O",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-09",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "009262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01057010",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "13530",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "Y006612",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, NY

Sources for this page

Verify at the official NPI Registry.