NPIMap

Organization Active NPI

Michael Schwalberg, PH.D., Psychologist, PLLC

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1225415383
Registry record updated May 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
010814 Issued in NY
Legal business name
MICHAEL SCHWALBERG, PH.D., PSYCHOLOGIST, PLLC
Practice address
39 E 78TH St
Suite 601
New York, NY 10075-0214
Phone
(845) 417-8809
NPI assigned
Apr 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2015

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

Authorized official

Name
Dr. Michael David Schwalberg, PH.D.
Title
Psychologist
Phone
(845) 417-8809

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 010814 NY Primary

Addresses

Primary practice location

39 E 78TH St
Suite 601
New York, NY 10075-0214

Mailing address

345 N Main St
Suite 1
New City, NY 10956-4305
Phone (845) 417-8809

National Provider Directory

National Provider Directory

Locations

721 Broadway
Ste 210
Kingston, NY 12401
Phone (845) 417-8809

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1430179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430870400000",
    "number": "1225415383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 N MAIN ST",
            "address_2": "SUITE 1",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109564305",
            "telephone_number": "845-417-8809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 E 78TH ST",
            "address_2": "SUITE 601",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750214",
            "telephone_number": "845-417-8809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL SCHWALBERG, PH.D., PSYCHOLOGIST, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-28",
        "last_updated": "2015-05-06",
        "status": "A",
        "authorized_official_last_name": "SCHWALBERG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "845-417-8809",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "010814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; 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.