Angela Provenzano Schaub

Primary specialty

PsychologistTaxonomy code 103T00000X

License

35S100238900 Issued in NJ

Practice address

318 Elm St
Westfield, NJ 07090-3104

Phone

(908) 232-4331

NPI assigned

Mar 10, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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.

• Challenges Psychological Services, P.a.

  • Nursing Facility/Intermediate Care Facility
  • Howell, NJ
  • NPI 1114968427
  NPD (past)

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

{
    "created_epoch": "1173484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220054400000",
    "number": "1275665770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2884",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070912884",
            "telephone_number": "908-232-4331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 ELM ST",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070903104",
            "telephone_number": "908-232-4331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROVENZANO SCHAUB",
        "first_name": "ANGELA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-10",
        "last_updated": "2008-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35S100238900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prime Health Group LLC
• Pro Poplar Inc.
• Professional Occupational & Physical Therapy, PLLC
• Professional Orthopedic and Sports Physical Therapy of N.J., L.L.C.
• Prosthodontic Associates of Westfield PA
• Pugliese Spine and Sports Injury Asscociates, LLC
• Antonio Pugliese, DC
• Pureheart Inc
• Shruti Purushotam
• Anne C Pusar, PSY.D.

• Psychologist in Westfield, NJ
• Providers in Westfield, NJ by specialty
• Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.