Individual provider Active NPI

Herbert Arthur Schwager, PHD

  • Psychologist
  • Payson, AZ
National Provider Identifier
1457447161
Registry record updated May 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
0628 Issued in AZ
Practice address
203 N Manzanita Dr # B
Payson, AZ 85541-4417
Phone
(928) 474-6617
Fax
(928) 474-7059
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 0628 AZ Primary
Professional Counselor 101YP2500X 582 AK

Addresses

Primary practice location

203 N Manzanita Dr # B
Payson, AZ 85541-4417

Mailing address

203 N Manzanita Dr # B
Payson, AZ 85541-4417
Phone (928) 474-6617

Other identifiers 1

IdentifierTypeStateIssuer
188525900OtherAZUS DEPT OF LABOR

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

LicenseStateTypeSpecialty
582AKMDProfessional Counselor
0628AZMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274745600000",
    "number": "1457447161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 N MANZANITA DR # B",
            "city": "PAYSON",
            "state": "AZ",
            "postal_code": "855414417",
            "telephone_number": "928-474-6617",
            "fax_number": "928-474-7059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 N MANZANITA DR # B",
            "city": "PAYSON",
            "state": "AZ",
            "postal_code": "855414417",
            "telephone_number": "928-474-6617",
            "fax_number": "928-474-7059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWAGER",
        "first_name": "HERBERT",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2010-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "0628",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AK",
            "license": "582",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "188525900",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Payson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2010; 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.