Individual provider Active NPI

Russell Schwartz, PH.D.

  • Psychologist
  • Goshen, NY
National Provider Identifier
1801808282
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
012429-1 Issued in NY
Practice address
3 Coates Dr
Suite 8
Goshen, NY 10924-6764
Phone
(845) 291-0999
Fax
(845) 294-8921
NPI assigned
Aug 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 012429-1 NY Primary

Addresses

Primary practice location

3 Coates Dr
Suite 8
Goshen, NY 10924-6764

Mailing address

3 Coates Dr
Suite 8
Goshen, NY 10924-6764
Phone (845) 291-0999

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
012429-1NYMDPsychologist
012429NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Stress Reduction and Psychological Services, PC PastSince Nov 4, 2008 Accepting new patients

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": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801808282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 COATES DR",
            "address_2": "SUITE 8",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109246764",
            "telephone_number": "845-291-0999",
            "fax_number": "845-294-8921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 COATES DR",
            "address_2": "SUITE 8",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109246764",
            "telephone_number": "845-291-0999",
            "fax_number": "845-294-8921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARTZ",
        "first_name": "RUSSELL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "012429-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goshen, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.