Individual provider Active NPI

William Scholler, PH.D.

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1356365084
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
007105-1 Issued in NY
Practice address
120 E 34TH St
11-G
New York, NY 10016-4609
Phone
(212) 685-3877
Fax
(212) 685-3877
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 007105-1 NY Primary

Addresses

Primary practice location

120 E 34TH St
11-G
New York, NY 10016-4609

Mailing address

120 E 34TH St
11-G
New York, NY 10016-4609
Phone (212) 685-3877

Other identifiers 7

IdentifierTypeStateIssuer
0028350OtherNYGROUP HEALTH INCORPORATED
0028350OtherNYVALUE OPTIONS
6184189OtherNYUNITED HEALTH CARE
P758182OtherNYOXFORD
0005614333OtherNYAETNA
N65880OtherNYACS/HEALTH NET
WS0V153410NOtherNYBLUE CROSS-BS OF NJ

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20130503000099 NY Practitioner - Clinical Psychologist 9436396801 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

120 E 34 St
11G
New York, NY 10016-4329
Phone (212) 685-3877

120 E 34TH St
11 G
New York, NY 10016-4609

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
007105-1NYMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1356365084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E 34TH ST",
            "address_2": "11-G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100164609",
            "telephone_number": "212-685-3877",
            "fax_number": "212-685-3877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E 34TH ST",
            "address_2": "11-G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100164609",
            "telephone_number": "212-685-3877",
            "fax_number": "212-685-3877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOLLER",
        "first_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "007105-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH INCORPORATED",
            "identifier": "0028350",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "0028350",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "6184189",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P758182",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0005614333",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACS/HEALTH NET",
            "identifier": "N65880",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS-BS OF NJ",
            "identifier": "WS0V153410N",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.