Organization Active NPI

Owen B Schneider MD LLC

  • Adult Mental Health Clinic/Center
  • Larchmont, NY
National Provider Identifier
1740428747
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
MD 1089961 Issued in NY
Legal business name
OWEN B SCHNEIDER MD LLC
Practice address
5 Spanish Cove Rd
Larchmont, NY 10538-3815
Phone
(914) 834-8251
Fax
(914) 834-8563
NPI assigned
Jan 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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

Authorized official

Name
Dr. Owen B Schneider, MDNPI 1184798852
Title
President
Phone
(914) 834-8251

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
Adult Mental Health Clinic/Center 261QM0850X MD 1089961 NY Primary

Addresses

Primary practice location

5 Spanish Cove Rd
Larchmont, NY 10538-3815

Mailing address

5 Spanish Cove Rd
Larchmont, NY 10538-3815
Phone (914) 834-8251

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231116002202 NY Part B Supplier - Clinic/Group Practice 9638568793 Receives reassigned benefits from 1 practitioner
Practice locations: Larchmont, 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.

NPI Registry JSON

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

{
    "created_epoch": "1233100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698796800000",
    "number": "1740428747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 SPANISH COVE RD",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "105383815",
            "telephone_number": "914-834-8251",
            "fax_number": "914-834-8563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 SPANISH COVE RD",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "105383815",
            "telephone_number": "914-834-8251",
            "fax_number": "914-834-8563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OWEN B SCHNEIDER MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-28",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A",
        "authorized_official_last_name": "SCHNEIDER",
        "authorized_official_first_name": "OWEN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-834-8251",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NY",
            "license": "MD 1089961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Larchmont, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; 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.