Active NPI
Sheldon M Krems, PHD
- Clinical Psychologist
- Poughkeepsie, NY
National Provider Identifier
1346355765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0053751
- Practice address
- 510 Haight Avenue
Suite 102 Spectrum Behavioral Management Serv Inc
Poughkeepsie, NY 12603-2408 - Phone
- (845) 485-3500
- Fax
- (845) 485-8780
- NPI assigned
- Aug 19, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 0053751 | NY | Primary |
Addresses
Primary practice location
510 Haight Avenue
Suite 102 Spectrum Behavioral Management Serv Inc
Poughkeepsie, NY 12603-2408
Mailing address
20 Davis Avenue
Poughkeepsie, NY 12603-2408
Phone (845) 485-3500
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 417561 | Other | MVP HEALTH CARE | |
| 027181 | Other | CDPHP | |
| 2112824 | Other | CIGNA BEH HEALTH | |
| 5417729 | Other | AETNA | |
| 1033150 | Other | BEACON HEALTH STRAT | |
| 000471040001 | Other | BSNENY | |
| 6886068 | Other | VALUE OPTIONS | |
| 6886068 | Other | GHI BMP |
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0053751 | NY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346355765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 DAVIS AVENUE",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126032408",
"telephone_number": "845-485-3500",
"fax_number": "845-485-8780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 HAIGHT AVENUE",
"address_2": "SUITE 102 SPECTRUM BEHAVIORAL MANAGEMENT SERV INC",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126032408",
"telephone_number": "845-485-3500",
"fax_number": "845-485-8780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KREMS",
"first_name": "SHELDON",
"middle_name": "M",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "0053751",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP HEALTH CARE",
"identifier": "417561",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPHP",
"identifier": "027181",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA BEH HEALTH",
"identifier": "2112824",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5417729",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEACON HEALTH STRAT",
"identifier": "1033150",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BSNENY",
"identifier": "000471040001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "6886068",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI BMP",
"identifier": "6886068",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Poughkeepsie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.