Michael Laury Schubert, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

4522 Issued in NY

Practice address

120 E 34TH St
Suite 11G
New York, NY 10016-4609

Phone

(212) 532-2635

Fax

(212) 532-2635

NPI assigned

Oct 7, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287532800000",
    "number": "1558359208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E 34TH ST",
            "address_2": "SUITE 11G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100164609",
            "telephone_number": "212-532-2635",
            "fax_number": "212-532-2635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E 34TH ST",
            "address_2": "SUITE 11G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100164609",
            "telephone_number": "212-532-2635",
            "fax_number": "212-532-2635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUBERT",
        "first_name": "MICHAEL",
        "middle_name": "LAURY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-07",
        "last_updated": "2010-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "4522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy Myles Schube, M.D.
• Elia Schubert, MHC-LP
• Elizabeth Strauss Schubert
• Hermann D Schubert, M.D.
• Laura Schubert, DPT
• Daniel Joseph Schubmehl, LMFT
• Sabrina Schuchinsky
• Anna E Schuchmann, LMSW
• Karalyn Amy Schuck I
• Kristine Schuerger, LCSW

• Clinical Psychologist in New York, NY
• Providers in New York, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.