Individual provider Active NPI

Rafael Michael Schoenberg, PSYCHOLOGIST

  • Mental Health Counselor
  • Akron, OH
National Provider Identifier
1558439778
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2467 Issued in OH
Practice address
1660 Akron Peninsula Rd
Suite 101
Akron, OH 44313-5189
Phone
(330) 920-1660
Fax
(330) 920-1373
NPI assigned
Dec 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2467 OH Primary

Addresses

Primary practice location

1660 Akron Peninsula Rd
Suite 101
Akron, OH 44313-5189

Mailing address

1660 Akron-Peninsula Rd.
Suite 101
Akron, OH 44313-5193
Phone (330) 920-1660

Other identifiers 2

IdentifierTypeStateIssuer
34169555000OtherOHBCBS PROVIDER NUMBER
136901OtherOHANTHEMBLUECROSS

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
Master of Arts

State licenses

LicenseStateTypeSpecialty
2467OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Psychotherapy Center Mental Health PastSince Jan 29, 2002 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1558439778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 AKRON-PENINSULA RD.",
            "address_2": "SUITE 101",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443135193",
            "telephone_number": "330-920-1660",
            "fax_number": "330-920-1373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 AKRON PENINSULA RD",
            "address_2": "SUITE 101",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443135189",
            "telephone_number": "330-920-1660",
            "fax_number": "330-920-1373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOENBERG",
        "first_name": "RAFAEL",
        "middle_name": "MICHAEL",
        "credential": "PSYCHOLOGIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "2467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "34169555000",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEMBLUECROSS",
            "identifier": "136901",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.