Individual provider Active NPI

Rose Schwarzberg, ED.D.

  • Psychologist
  • Setauket, NY
National Provider Identifier
1427239987
Registry record updated Nov 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
006517-1 Issued in NY
Practice address
3400 Nesconset Hwy
Ste 101
Setauket, NY 11733-3327
Phone
(631) 751-8550
NPI assigned
Nov 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 006517-1 NY Primary

Addresses

Primary practice location

3400 Nesconset Hwy
Ste 101
Setauket, NY 11733-3327

Mailing address

7 N Ridge Rd
Setauket, NY 11733-1655
Phone (631) 751-8550

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

State licenses

LicenseStateTypeSpecialty
006517-1NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196035200000",
    "number": "1427239987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 N RIDGE RD",
            "city": "SETAUKET",
            "state": "NY",
            "postal_code": "117331655",
            "telephone_number": "631-751-8550",
            "fax_number": "631-706-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 NESCONSET HWY",
            "address_2": "STE 101",
            "city": "SETAUKET",
            "state": "NY",
            "postal_code": "117333327",
            "telephone_number": "631-751-8550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARZBERG",
        "first_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "ED.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-26",
        "last_updated": "2007-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "006517-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Setauket, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.

Verify at the official NPI Registry.