Schuman-Liles Clinic, Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

SCHUMAN-LILES CLINIC, INC

Practice address

39155 Liberty St
G700
Fremont, CA 94538-1513

Phone

(510) 505-9141

Fax

(510) 505-9145

NPI assigned

Mar 13, 2007

Organization subpart

No

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

Authorized official

Name

Mr. LJ Jennings

Title

Ceo

Phone

(510) 569-9334

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Schuman-Liles Clinic, Inc

  • Psychiatry Physician
  • Oakland, CA
  • NPI 1861568909

  O20031105000795

  Same enrollment

Locations

Practitioners 41

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Emmanuel J Fantone, M.D.

  • Psychiatry Physician
  • Woodland Hills, CA
  • NPI 1871632547
  NPD
• Pradeep Kumar, MD

  • Psychiatry Physician
  • Fremont, CA
  • NPI 1023188935
  NPD
• Armeen William Weber, M.D.

  • Psychiatry Physician
  • Oakland, CA
  • NPI 1063645356
  NPD
• Arkadiy Yaretskiy, M.D.

  • Psychiatry Physician
  • New York, NY
  • NPI 1558604751
  NPD
• Steven Leo Balt, MD

  • Psychiatry Physician
  • San Rafael, CA
  • NPI 1235308297
  NPD (past)
• Omri Berger, M.D.

  • Psychiatry Physician
  • Corte Madera, CA
  • NPI 1639351687
  NPD (past)
• Ernest Lincoln Bonner Jr., MD

  • Internal Medicine Physician
  • Alameda, CA
  • NPI 1992785703
  NPD (past)
• Jon Lynn Boone, M.D.

  • Psychiatry Physician
  • San Francisco, CA
  • NPI 1750500674
  NPD (past)
• Gina M. Clark, MD

  • Psychiatry Physician
  • Oakland, CA
  • NPI 1992020887
  NPD (past)
• Caroline Ann Corriveau, MD

  • Psychiatry Physician
  • Palo Alto, CA
  • NPI 1578717880
  NPD (past)
• Sidney Anne Edsall, MD

  • Psychiatry Physician
  • Palo Alto, CA
  • NPI 1588626469
  NPD (past)
• John A Engers, M.D.

  • Psychiatry Physician
  • Fremont, CA
  • NPI 1083641864
  NPD (past)

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457568000000",
    "number": "1164555660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10850 MACARTHUR BLVD",
            "address_2": "300",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946055266",
            "telephone_number": "510-569-9334",
            "fax_number": "510-569-9309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39155 LIBERTY ST",
            "address_2": "G700",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381513",
            "telephone_number": "510-505-9141",
            "fax_number": "510-505-9145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHUMAN-LILES CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2016-03-10",
        "status": "A",
        "authorized_official_last_name": "JENNINGS",
        "authorized_official_first_name": "LJ",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-569-9334",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marilee A Schuchard, M.D.
• Erik James Schuenke, DPT
• Jennie Bravo Schulman, PAC
• Brian Schulz
• Cameron Schulz
• Joseph Schwartz, M.D.
• Scott Schwartz, PHD
• Laura Doreen Scielzo, LCSW
• Tina Fatin Scobel
• Francis Scorca, D.C.

• Psychiatry Physician in Fremont, CA
• Providers in Fremont, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.