Individual provider Active NPI

Stanley Schneider, LIC. PSYCHOLOGIST

  • Forensic Psychologist
  • Camp Hill, PA
National Provider Identifier
1831208644
Registry record updated Feb 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Forensic PsychologistTaxonomy code 103TF0200X
License
PS000272L Issued in PA
Practice address
412 Erford Rd
Camp Hill, PA 17011-1117
Phone
(717) 732-2917
Fax
(717) 732-5375
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Psychologist 103TF0200X PS000272L PA Primary

Addresses

Primary practice location

412 Erford Rd
Camp Hill, PA 17011-1117

Mailing address

412 Erford Rd
Camp Hill, PA 17011-1117
Phone (717) 732-2917

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20170525000664 NJ Practitioner - Clinical Psychologist 2062314610 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PS000272LPAMDForensic Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Keith Golin PHD LLC CurrentSince Apr 10, 2017 Accepting new patients
Keith Golin PHD LLC CurrentSince Apr 10, 2017 Accepting new patients
Guidance Associates of PA Forensic PastSince Jan 1, 1972 Accepting new patients

Locations

201 Crosswicks St
Bordentown, NJ 08505
Phone (609) 298-9960

22 Old Short Hills Rd
Ste 216
Livingston, NJ 07039
Phone (973) 994-3145

103 Pleasant Valley Way
West Orange, NJ 07052
Phone (201) 407-5145

659 Eagle Rock Ave
Ste 4
West Orange, NJ 07052
Phone (855) 274-3395

Organizations & group practices 3

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203465600000",
    "number": "1831208644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 ERFORD RD",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170111117",
            "telephone_number": "717-732-2917",
            "fax_number": "717-732-5375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 ERFORD RD",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170111117",
            "telephone_number": "717-732-2917",
            "fax_number": "717-732-5375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "STANLEY",
        "credential": "LIC. PSYCHOLOGIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2008-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "PA",
            "license": "PS000272L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Hill, PA

Sources for this page

Verify at the official NPI Registry.