Individual provider Active NPI

Joseph L J Schwartz, PSYD

  • Clinical Psychologist
  • Dover, DE
National Provider Identifier
1386707925
Registry record updated Sep 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
B1-0000976 Issued in DE
Practice address
1151 Walker Rd
Dover, DE 19904-6600
Phone
(302) 674-4699
Fax
(302) 674-1299
NPI assigned
Dec 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 0118231 NY
Psychologist 103T00000X PSY002992 GA
Clinical Psychologist 103TC0700X B1-0000976 DE Primary

Addresses

Primary practice location

1151 Walker Rd
Dover, DE 19904-6600

Mailing address

156 S State St
Dover, DE 19901-7314
Phone (302) 674-2380

Other identifiers 4

IdentifierTypeStateIssuer
5118232OtherWORKERS COMP
01449976MedicaidNY
133817853OtherUBH
R18889818OtherOXFORD

Other names 1

  • Joseph L J Schwartz Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20150304000994 DE Practitioner - Clinical Psychologist 1850489220 Reassigns benefits to 1 organization
Practice locations: Rehoboth Beach, DE; Wilmington, DE

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

19606 Coastal Hwy
Unit 102
Rehoboth Beach, DE 19971-8576
Phone (302) 423-7011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY002992GAMDPsychologist
0118231NYMDPsychologist
011823NYMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Mind and Body Consortium, LLC. CurrentSince Jan 9, 2015 Accepting new patients
Senior Psych Solutions Corp Psychologist Past Accepting new patients

Locations

1151 Walker Rd
Dover, DE 19904
Phone (302) 674-1397

156 S State St
Dover, DE 19901
Phone 30267423801218

118 Sandhill Dr
Ste 201
Middletown, DE 19709
Phone 3024499314108

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473638400000",
    "number": "1386707925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 S STATE ST",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199017314",
            "telephone_number": "302-674-2380",
            "fax_number": "302-674-1299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 WALKER RD",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199046600",
            "telephone_number": "302-674-4699",
            "fax_number": "302-674-1299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARTZ",
        "first_name": "JOSEPH",
        "middle_name": "L J",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2016-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "0118231",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "GA",
            "license": "PSY002992",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "DE",
            "license": "B1-0000976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMP",
            "identifier": "5118232",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01449976",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBH",
            "identifier": "133817853",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "R18889818",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSEPH",
            "last_name": "SCHWARTZ",
            "middle_name": "L J",
            "credential": "PSYD PC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Dover, DE

Sources for this page

Verify at the official NPI Registry.