Organization Active NPI

Ronald Schenendorf MD PC

  • Psychoanalyst
  • Shelter Island, NY
National Provider Identifier
1164694394
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychoanalystTaxonomy code 102L00000X
License
131649 Issued in NY
Legal business name
RONALD SCHENENDORF MD PC
Practice address
19 Hilo Drive
Shelter Island, NY 11964-1588
Phone
(516) 627-2726
Fax
(516) 750-9085
NPI assigned
Mar 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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

Authorized official

Name
Ronald Schenendorf, MD
Title
President
Phone
(516) 627-2726

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychoanalystGroup: 193400000X SINGLE SPECIALTY GROUP 102L00000X 131649 NY Primary

Addresses

Primary practice location

19 Hilo Drive
Shelter Island, NY 11964-1588

Mailing address

PO Box 1588C
Shelter Island, NY 11964-1588
Phone (516) 627-2726

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661299200000",
    "number": "1164694394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1588C",
            "city": "SHELTER ISLAND",
            "state": "NY",
            "postal_code": "119641588",
            "telephone_number": "516-627-2726",
            "fax_number": "516-750-9085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 HILO DRIVE",
            "city": "SHELTER ISLAND",
            "state": "NY",
            "postal_code": "119641588",
            "telephone_number": "516-627-2726",
            "fax_number": "516-750-9085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD SCHENENDORF MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-19",
        "status": "A",
        "authorized_official_last_name": "SCHENENDORF",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-627-2726",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychoanalyst",
            "state": "NY",
            "license": "131649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelter Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.