Individual provider Active NPI

Harold Vincent Schmitz, PH.D.

  • Clinical Psychologist
  • Old Chatham, NY
National Provider Identifier
1205916913
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
006095 Issued in NY
Practice address
1219 County Route 13
Old Chatham, NY 12136-2712
Phone
(518) 794-9400
Fax
(518) 766-5471
NPI assigned
Oct 17, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 006095 NY Primary

Addresses

Primary practice location

1219 County Route 13
Old Chatham, NY 12136-2712

Mailing address

1219 County Route 13
Old Chatham, NY 12136-2712
Phone (518) 794-9400

Other identifiers 1

IdentifierTypeStateIssuer
01731617MedicaidNY

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
I20100618000088 NY Practitioner - Clinical Psychologist 6305875709 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

141 E 55TH St
Apt 2a
New York, NY 10022-4050
Phone (917) 828-6091

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
006095NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen Reich,PH.D,Psychologist,P.C. Clinical Past Accepting new patients
Senior Citizens Care Group,LLP Clinical PastSince Aug 17, 1995 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205916913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 COUNTY ROUTE 13",
            "city": "OLD CHATHAM",
            "state": "NY",
            "postal_code": "121362712",
            "telephone_number": "518-794-9400",
            "fax_number": "518-766-5471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 COUNTY ROUTE 13",
            "city": "OLD CHATHAM",
            "state": "NY",
            "postal_code": "121362712",
            "telephone_number": "518-794-9400",
            "fax_number": "518-766-5471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMITZ",
        "first_name": "HAROLD",
        "middle_name": "VINCENT",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "006095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01731617",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Chatham, NY

Sources for this page

Verify at the official NPI Registry.