Active NPI
Sandra Z Schoeneman, PHD
- Clinical Psychologist
- Mamaroneck, NY
National Provider Identifier
1346290418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 007425-1
- Practice address
- 206 West St
Mamaroneck, NY 10543-3138 - Phone
- (914) 777-0661
- Fax
- (914) 777-7569
- NPI assigned
- May 11, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 007425-1 | NY | Primary |
Addresses
Primary practice location
206 West St
Mamaroneck, NY 10543-3138
Mailing address
206 West St
Mamaroneck, NY 10543-3138
Phone (914) 777-0661
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 21, 2022 through Apr 21, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007425-1 | NY | MD | Clinical Psychologist |
| 007425 | NY | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284336000000",
"number": "1346290418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 WEST ST",
"city": "MAMARONECK",
"state": "NY",
"postal_code": "105433138",
"telephone_number": "914-777-0661",
"fax_number": "914-777-7569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 WEST ST",
"city": "MAMARONECK",
"state": "NY",
"postal_code": "105433138",
"telephone_number": "914-777-0661",
"fax_number": "914-777-7569"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHOENEMAN",
"first_name": "SANDRA",
"middle_name": "Z",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-11",
"last_updated": "2010-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "007425-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mamaroneck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.