Individual provider Active NPI

Carla M Schuab, PSY.D.

  • Psychologist
  • Virginia Gardens, FL
National Provider Identifier
1710537360
Registry record updated Sep 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
6405 NW 36TH St Ste 112
Virginia Gardens, FL 33166-6977
Phone
(305) 871-3131
NPI assigned
Sep 16, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

6405 NW 36TH St Ste 112
Virginia Gardens, FL 33166-6977

Mailing address

30314 SW 154TH CT
Homestead, FL 33033-3509

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL &&&&&&

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1568592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568592000000",
    "number": "1710537360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30314 SW 154TH CT",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330333509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6405 NW 36TH ST STE 112",
            "city": "VIRGINIA GARDENS",
            "state": "FL",
            "postal_code": "331666977",
            "telephone_number": "305-871-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUAB",
        "first_name": "CARLA",
        "middle_name": "M",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-16",
        "last_updated": "2019-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "&&&&&&",
            "affiliation": "N",
            "address_1": "6405 NW 36th St Ste 112",
            "city": "Virginia Gardens",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331666977",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Virginia Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; 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.