Active NPI
Deena J Schwartz, NP
- Psychiatric/Mental Health Nurse Practitioner
- Owego, NY
National Provider Identifier
1972603769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 401101
- Practice address
- 1062 State Route 38
Owego, NY 13827 - Phone
- (607) 687-4000
- Fax
- (607) 687-6396
- NPI assigned
- Sep 22, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 401101 | NY | Primary |
| Adult Health Nurse Practitioner | 363LA2200X | F300121 | NY |
Addresses
Primary practice location
1062 State Route 38
Owego, NY 13827
Mailing address
101 East State St #257
Ithaca, NY 14850-3209
Phone (607) 227-2246
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F401101 | Other | NY | PNP LICENSE NUMBER |
| F300121 | Other | NY | NP LICENSE NUMBER |
| 39062A | Other | GROUP MEDICARE NUMBER |
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: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050622000849 | NY | Practitioner - Nurse Practitioner | 5597700443 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Seneca County Treasurer
Practice addresses (Care Compare)
7204 Main St
Ovid, NY 14521-9586
Phone (607) 869-5575
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F300121 | NY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seneca County Treasurer | Current | Accepting new patients | |
| Seneca County Addictions Program | Current | Accepting new patients | |
| Tioga County | Current | Accepting new patients | |
| Tioga County Health Department | Current | Accepting new patients | |
| Tioga County | Psychiatric/Mental Health | Current | Accepting new patients |
| Alcohol & Drug Council | Past | Accepting new patients | |
| Alcohol & Drug Council of Tompkins County, Inc. | Past | Accepting new patients | |
| Family & Children'S Service of Ithaca Inc | Past | Accepting new patients |
Locations
1062 State Route 38
Owego, NY 13827
Phone (607) 687-0200
31 Thurber Dr
Waterloo, NY 13165
Phone (315) 539-1980
Organizations & group practices 8
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.
-
- Clinic/Center
- Waterloo, NY
- NPI 1295799070
-
- Addiction (Substance Use Disorder) Counselor
- Owego, NY
- NPI 1205031499
-
- Public Health or Welfare Agency
- Owego, NY
- NPI 1114078268
-
- Case Management Agency
- Ithaca, NY
- NPI 1972823771
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Ithaca, NY
- NPI 1194744227
-
- Voluntary or Charitable Agency
- Ithaca, NY
- NPI 1124176680
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1972603769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 EAST STATE ST #257",
"city": "ITHACA",
"state": "NY",
"postal_code": "148503209",
"telephone_number": "607-227-2246",
"fax_number": "607-687-6396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1062 STATE ROUTE 38",
"city": "OWEGO",
"state": "NY",
"postal_code": "13827",
"telephone_number": "607-687-4000",
"fax_number": "607-687-6396"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHWARTZ",
"first_name": "DEENA",
"middle_name": "J",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-22",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "401101",
"primary": true
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F300121",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PNP LICENSE NUMBER",
"identifier": "F401101",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NP LICENSE NUMBER",
"identifier": "F300121",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICARE NUMBER",
"identifier": "39062A",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Owego, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.