Active NPI
Julie Ivans Schimel, PSY.D.
- Psychologist
- Merrick, NY
National Provider Identifier
1225346695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 020838-1
- Practice address
- 2174 Hewlett Ave Ste 105
Merrick, NY 11566-3612 - Phone
- (516) 858-2877
- NPI assigned
- Sep 20, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 020838-1 | NY | Primary |
Addresses
Primary practice location
2174 Hewlett Ave Ste 105
Merrick, NY 11566-3612
Mailing address
175 Saint Regis Dr
Massapequa Park, NY 11762-3454
Phone (917) 968-8359
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020838-1 | Other | NY | PSYCHOLOGY LICENSE |
Other names 1
- Ms. Julie Catherine Ivans
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020838-1 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557619200000",
"number": "1225346695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 SAINT REGIS DR",
"city": "MASSAPEQUA PARK",
"state": "NY",
"postal_code": "117623454",
"telephone_number": "917-968-8359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2174 HEWLETT AVE STE 105",
"city": "MERRICK",
"state": "NY",
"postal_code": "115663612",
"telephone_number": "516-858-2877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHIMEL",
"first_name": "JULIE",
"middle_name": "IVANS",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-20",
"last_updated": "2019-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "020838-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PSYCHOLOGY LICENSE",
"identifier": "020838-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JULIE",
"last_name": "IVANS",
"middle_name": "CATHERINE",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Merrick, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.