Organization Active NPI

Richmond Psychological Services, P.C.

  • Psychologist
  • Staten Island, NY
National Provider Identifier
1497802144
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3589 Issued in NY
Legal business name
RICHMOND PSYCHOLOGICAL SERVICES, P.C.
Practice address
308 Seaview Ave
Staten Island, NY 10305-2246
Phone
(718) 987-3331
Fax
(718) 987-6079
NPI assigned
Jan 4, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Stanley Sidney Schonbuch, PH.D.NPI 1891773529
Title
Director-President
Phone
(718) 987-3331

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 21

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040629001543 NY Part B Supplier - Clinic/Group Practice 3577557362 Receives reassigned benefits from 1 practitioner
Practice locations: Staten Island, NY

National Provider Directory

National Provider Directory

Locations

308 Seaview Ave
Staten Island, NY 10305
Phone (718) 351-1717

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 3589 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

308 Seaview Ave
Staten Island, NY 10305-2246

Mailing address

308 Seaview Ave
Staten Island, NY 10305-2246
Phone (718) 987-3331

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
00912294MedicaidNY

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497802144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 SEAVIEW AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103052246",
            "telephone_number": "718-987-3331",
            "fax_number": "718-987-6079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 SEAVIEW AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103052246",
            "telephone_number": "718-987-3331",
            "fax_number": "718-987-6079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHMOND PSYCHOLOGICAL SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHONBUCH",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "SIDNEY",
        "authorized_official_title_or_position": "DIRECTOR-PRESIDENT",
        "authorized_official_telephone_number": "718-987-3331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "NY",
            "license": "3589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00912294",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.