Individual provider Active NPI

Stanley Sidney Schonbuch, PH.D.

  • Psychologist
  • Staten Island, NY
National Provider Identifier
1891773529
Registry record updated Dec 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3589 Issued in NY
Practice address
308 Seaview Ave
Staten Island, NY 10305-2246
Phone
(718) 987-3331
Fax
(718) 987-6079
NPI assigned
Jan 3, 2006
Last updated
Dec 22, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 3589 NY Primary

Addresses

Primary practice location

308 Seaview Ave
Staten Island, NY 10305-2246

Mailing address

308 Seaview Ave
Staten Island, NY 10305-2246
Phone (718) 987-3331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040413001929 NY Practitioner - Clinical Psychologist 4284628074 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

308 Seaview Ave
Staten Island, NY 10305-2246
Phone (718) 987-3331

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3589NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Richmond Psychological Services, P.C. Psychologist CurrentSince May 2, 1985 Accepting new patients
Clinical Management Consultants Past Accepting new patients

Locations

308 Seaview Ave
Staten Island, NY 10305
Phone (718) 351-1717

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292976000000",
    "number": "1891773529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 SEAVIEW AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103052246",
            "telephone_number": "718-987-3331",
            "fax_number": "718-987-6079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 SEAVIEW AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103052246",
            "telephone_number": "718-987-3331",
            "fax_number": "718-987-6079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHONBUCH",
        "first_name": "STANLEY",
        "middle_name": "SIDNEY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-03",
        "last_updated": "2010-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "3589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.