Individual provider Active NPI

Pamela Maratha Schwartz, PH.D.

  • Clinical Psychologist
  • Ann Arbor, MI
National Provider Identifier
1730477613
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
006650 Issued in MI
Practice address
3700 W Liberty Rd
Ann Arbor, MI 48103-9056
Phone
(734) 426-0032
Fax
(734) 426-0034
NPI assigned
Jul 13, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 006650 MI Primary

Addresses

Primary practice location

3700 W Liberty Rd
Ann Arbor, MI 48103-9056

Mailing address

2639 Pin Oak Dr
Ann Arbor, MI 48103-2370
Phone (734) 945-4375

Other practice location 1

2639 Pin Oak Dr
Ann Arbor, MI 48103-2370
Phone (734) 945-4375

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20210318000159 MI Practitioner - Clinical Psychologist 1850708850 Reassigns benefits to 1 organization
Practice locations: Ann Arbor, MI

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
006650MIMDClinical Psychologist

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Plaza HealthcareScottsdale, AZ, CCN 035084 Skilled nursing facility Direct Ownership Interest (1.43%) Nov 1, 2012

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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": "1310515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1730477613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2639 PIN OAK DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481032370",
            "telephone_number": "734-945-4375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 W LIBERTY RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481039056",
            "telephone_number": "734-426-0032",
            "fax_number": "734-426-0034"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2639 Pin Oak Dr",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481032370",
            "country_code": "US",
            "telephone_number": "734-945-4375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHWARTZ",
        "first_name": "PAMELA",
        "middle_name": "MARATHA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-13",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "006650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.