Active NPI
Rebecca Schwartzberg, PH.D.
- Psychologist
- Lakeland, FL
National Provider Identifier
1417061565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY9418
- Practice address
- 3030 Harden Blvd
Lakeland, FL 33803-7952 - Phone
- (863) 687-1222
- Fax
- (863) 603-6546
- NPI assigned
- Aug 18, 2006
- Last updated
- Jul 22, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY9418 | FL | Primary |
Addresses
Primary practice location
3030 Harden Blvd
Lakeland, FL 33803-7952
Mailing address
1324 Lakeland Hills Blvd
Managed Care Dept
Lakeland, FL 33805
Phone (863) 687-1100
Other practice location 1
1324 Lakeland Hills Blvd
Lakeland, FL 33805-4543
Phone (863) 687-1321
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 017336300 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rschwartzberg18296@LRHS.direct-ci.com | Direct |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY9418 | FL | MD | Psychologist |
Interoperability endpoints
- rschwartzberg18296@lrhs.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658448000000",
"number": "1417061565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1324 LAKELAND HILLS BLVD",
"address_2": "MANAGED CARE DEPT",
"city": "LAKELAND",
"state": "FL",
"postal_code": "33805",
"telephone_number": "863-687-1100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3030 HARDEN BLVD",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338037952",
"telephone_number": "863-687-1222",
"fax_number": "863-603-6546"
}
],
"practiceLocations": [
{
"address_1": "1324 Lakeland Hills Blvd",
"address_purpose": "LOCATION",
"city": "Lakeland",
"state": "FL",
"postal_code": "338054543",
"country_code": "US",
"telephone_number": "863-687-1321",
"fax_number": "863-603-6534",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHWARTZBERG",
"first_name": "REBECCA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-18",
"last_updated": "2022-07-22",
"certification_date": "2022-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "FL",
"license": "PY9418",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "017336300",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rschwartzberg18296@LRHS.direct-ci.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "3030 Harden Blvd",
"city": "Lakeland",
"state": "FL",
"country_code": "US",
"postal_code": "338037952",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.