Individual provider Active NPI

Beth Chase-Schuman, PH.D.

  • Psychologist
  • Cold Spring Harbor, NY
National Provider Identifier
1972944098
Registry record updated Feb 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
019984-1 Issued in NY
Practice address
82 Turkey LN
Cold Spring Harbor, NY 11724-1703
Phone
(631) 367-6992
NPI assigned
Jul 17, 2013
Last updated
Feb 24, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 019984-1 NY Primary
Clinical Child & Adolescent Psychologist 103TC2200X 019984-1 NY
School Psychologist 103TS0200X 1214181 NY

Addresses

Primary practice location

82 Turkey LN
Cold Spring Harbor, NY 11724-1703

Mailing address

82 Turkey LN
Cold Spring Harbor, NY 11724-1703
Phone (631) 367-6992

Other names 1

  • Beth Jillian Chase Former name

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
1214181NYMDSchool Psychologist
019984-1NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456272000000",
    "number": "1972944098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 TURKEY LN",
            "city": "COLD SPRING HARBOR",
            "state": "NY",
            "postal_code": "117241703",
            "telephone_number": "631-367-6992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 TURKEY LN",
            "city": "COLD SPRING HARBOR",
            "state": "NY",
            "postal_code": "117241703",
            "telephone_number": "631-367-6992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHASE-SCHUMAN",
        "first_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-17",
        "last_updated": "2016-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "019984-1",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NY",
            "license": "019984-1",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NY",
            "license": "1214181",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "CHASE",
            "middle_name": "JILLIAN",
            "credential": "PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cold Spring Harbor, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2016; 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.