Active NPI
Jacob Schwab, MED PSYD
- Marriage & Family Therapist
- Nanuet, NY
National Provider Identifier
1932255437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 0004131
- Practice address
- 55 Old Nyack Turnpike
Suite 601
Nanuet, NY 10954 - Phone
- (845) 624-8313
- NPI assigned
- Jan 26, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 0004131 | NY | Primary |
Addresses
Primary practice location
55 Old Nyack Turnpike
Suite 601
Nanuet, NY 10954
Mailing address
14 Lyncrest Drive
Monsey, NY 10952-1628
Phone (845) 354-4223
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
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0004131 | NY | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1932255437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 LYNCREST DRIVE",
"city": "MONSEY",
"state": "NY",
"postal_code": "109521628",
"telephone_number": "845-354-4223",
"fax_number": "845-354-3018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 OLD NYACK TURNPIKE",
"address_2": "SUITE 601",
"city": "NANUET",
"state": "NY",
"postal_code": "10954",
"telephone_number": "845-624-8313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHWAB",
"first_name": "JACOB",
"credential": "MED PSYD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NY",
"license": "0004131",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nanuet, 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.