Susan Schmool, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

024854-01 Issued in NY

Practice address

425 Kings Hwy
Brooklyn, NY 11223-1629

Phone

(718) 787-1100

NPI assigned

Dec 12, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

Specialty

Clinical Psychologist

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

SBH Community Service Network IncGroup PAC ID 4082713839, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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

• SBH Community Service Network, Inc.

  • Community/Behavioral Health Agency
  • Brooklyn, NY
  • NPI 1104966829
  Medicare reassignment Care Compare group
• Sephardic Bikur Holim

  • Public Health or Welfare Agency
  • Brooklyn, NY
  • NPI 1003075086
  NPD (past)

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1235840133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2602 QUENTIN RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112292504",
            "telephone_number": "718-490-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 KINGS HWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112231629",
            "telephone_number": "718-787-1100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2602 Quentin Rd",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112292504",
            "country_code": "US",
            "telephone_number": "718-490-7999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHMOOL",
        "first_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-12",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "024854-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY STATE PSYCHOLOGIST LICENSE",
            "identifier": "024854-01",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "susan@sbhonline.org",
            "affiliation": "Y",
            "endpointDescription": "work email",
            "affiliationName": "SBH Community Services Network",
            "address_1": "425 Kings Hwy",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112231629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Adele Schmookler
• Chani Schmookler
• Chani Schmookler
• Nazilya Schmookler, D.D.S
• Zahava Schmookler
• Christine C Schmude
• Angela Christine Schmugge
• Janet Schmukler, O.D.
• Roy Eli Schmukler, D.D.S.
• Oriel Schmulevich

• Psychologist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.