Mitchell L. Schare, PH.D.

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

License

9028 Issued in NY

Practice address

500 N Broadway Ste 215
Jericho, NY 11753-2128

Phone

(516) 719-6383

NPI assigned

Jun 23, 2007

Sex

Male

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

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1182556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617494400000",
    "number": "1760688055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 PINETREE CT",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117251136",
            "telephone_number": "516-769-7389",
            "fax_number": "631-462-1289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N BROADWAY STE 215",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117532128",
            "telephone_number": "516-719-6383"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 Pinetree Ct",
            "address_purpose": "LOCATION",
            "city": "Commack",
            "state": "NY",
            "postal_code": "117251136",
            "country_code": "US",
            "telephone_number": "516-769-7389",
            "fax_number": "631-462-1289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHARE",
        "first_name": "MITCHELL",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-23",
        "last_updated": "2021-04-04",
        "certification_date": "2021-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NY",
            "license": "9028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Sambour
• Joyce Samuel
• Amie Sanborn, LMSW
• Laurie B Sanders, LCSW
• Sharon R Scafidi, MS, RD
• Adam Jason Schneider, MD
• Mark Jay Schnur, O.D.
• Stacy Brooke Schwartz
• Carina Scivolette, MHC-LP
• Scott Bloom MD PC

• Cognitive & Behavioral Psychologist in Jericho, NY
• Providers in Jericho, NY by specialty
• Cognitive & Behavioral Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2021; 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.