Organization Active NPI

Sanford a. Schwartz, PH.D., Psychologist LLC

  • Clinical Psychologist
  • Fresh Meadows, NY
National Provider Identifier
1730468158
Registry record updated Aug 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
006763 Issued in NY
Legal business name
SANFORD A. SCHWARTZ, PH.D., PSYCHOLOGIST LLC
Practice address
17502 73Rd Ave
Fresh Meadows, NY 11366-1502
Phone
(718) 969-7771
Fax
(718) 969-4647
NPI assigned
Aug 16, 2011
Last updated
Aug 16, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2011

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

Authorized official

Name
Dr. Sanford Alan Schwartz, PH.D.NPI 1548332026
Title
Psychologist/Psychologist
Phone
(718) 969-7771

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 006763 NY Primary

Addresses

Primary practice location

17502 73Rd Ave
Fresh Meadows, NY 11366-1502

Mailing address

17502 73Rd Ave
Fresh Meadows, NY 11366-1502
Phone (718) 969-7771

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110907001163 NY Part B Supplier - Clinic/Group Practice 6103096862 Receives reassigned benefits from 1 practitioner
Practice locations: Flushing, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1313452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313452800000",
    "number": "1730468158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17502 73RD AVE",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661502",
            "telephone_number": "718-969-7771",
            "fax_number": "718-969-4647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17502 73RD AVE",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661502",
            "telephone_number": "718-969-7771",
            "fax_number": "718-969-4647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANFORD A. SCHWARTZ, PH.D., PSYCHOLOGIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-16",
        "last_updated": "2011-08-16",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "SANFORD",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PSYCHOLOGIST/PSYCHOLOGIST",
        "authorized_official_telephone_number": "718-969-7771",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "006763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresh Meadows, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2011; 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.