Bonnie Keeling Schamback, MA PA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LMHC0002621 Issued in FL

Practice address

101 Colorado Ave
Stuart, FL 34994

Phone

(772) 220-3255

NPI assigned

Oct 9, 2008

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts, Physician Assistant

State licenses

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

{
    "created_epoch": "1223510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223510400000",
    "number": "1639320534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 COLORADO AVE",
            "city": "STUART",
            "state": "FL",
            "postal_code": "34994",
            "telephone_number": "772-220-3255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 COLORADO AVE",
            "city": "STUART",
            "state": "FL",
            "postal_code": "34994",
            "telephone_number": "772-220-3255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAMBACK",
        "first_name": "BONNIE",
        "middle_name": "KEELING",
        "name_prefix": "Ms.",
        "credential": "MA PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-09",
        "last_updated": "2008-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "LMHC0002621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gisela Emilia Scavello Vivian
• Emily Scelta-Neff, LMHC
• Paul N. Schacknow, M.D., PH.D.
• William S Schacter, D.M.D.
• Brittany Lucas Schafer, BCBA
• Gail Walker Schamback, D.D.S.
• Ericka Scheid
• Robert L. Schellenberg Jr., D.C.
• Elliott Scher, D.C.
• Shree Kathleen Schermerhorn, RBT

• Mental Health Counselor in Stuart, FL
• Providers in Stuart, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2008; 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.