Individual provider Active NPI

Julie Ivans Schimel, PSY.D.

  • Psychologist
  • Merrick, NY
National Provider Identifier
1225346695
Registry record updated May 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
020838-1 Issued in NY
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

Updated by the provider on May 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
020838-1OtherNYPSYCHOLOGY LICENSE

Other names 1

  • Ms. Julie Catherine Ivans Former name

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

LicenseStateTypeSpecialty
020838-1NYMDPhysical 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.

Verify at the official NPI Registry.