Individual provider Active NPI

Steven S Schwartz, PH.D.

  • Clinical Psychologist
  • Columbus, OH
National Provider Identifier
1396897997
Registry record updated Feb 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4515 Issued in OH
Practice address
7650 Rivers Edge Dr
Ste 140
Columbus, OH 43235-1342
Phone
(614) 841-1101
Fax
(614) 841-1957
NPI assigned
Jan 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2009

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 4515 OH Primary

Addresses

Primary practice location

7650 Rivers Edge Dr
Ste 140
Columbus, OH 43235-1342

Mailing address

7650 Rivers Edge Dr
Ste 140
Columbus, OH 43235-1342
Phone (614) 841-1101

Other identifiers 3

IdentifierTypeStateIssuer
125803000OtherOHMAGELLAN PROVIDER #
000000115732OtherOHANTHEM PROVIDER #
4556138OtherOHAETNA PROVIDER #

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

LicenseStateTypeSpecialty
4515OHMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235088000000",
    "number": "1396897997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7650 RIVERS EDGE DR",
            "address_2": "STE 140",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432351342",
            "telephone_number": "614-841-1101",
            "fax_number": "614-841-1957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7650 RIVERS EDGE DR",
            "address_2": "STE 140",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432351342",
            "telephone_number": "614-841-1101",
            "fax_number": "614-841-1957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARTZ",
        "first_name": "STEVEN",
        "middle_name": "S",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2009-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "4515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN PROVIDER #",
            "identifier": "125803000",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER #",
            "identifier": "000000115732",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER #",
            "identifier": "4556138",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.