Organization Active NPI

Carol Schober PSYD, LLC

  • Psychologist
  • Cherry Hill, NJ
National Provider Identifier
1982266227
Registry record updated Jul 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
CAROL SCHOBER PSYD, LLC
Doing business as
Carol Schober PsyD, LLC
Practice address
811 Church Rd Ste 114
Cherry Hill, NJ 08002-1459
Phone
(856) 672-5900
Fax
(856) 672-5901
NPI assigned
Jul 8, 2019
Last updated
Jul 8, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2019

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

Authorized official

Name
Dr. Carol Schober, PSYDNPI 1083704308
Title
Owner
Phone
(856) 672-5900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU Primary

Addresses

Primary practice location

811 Church Rd Ste 114
Cherry Hill, NJ 08002-1459

Mailing address

811 Church Rd Ste 114
Cherry Hill, NJ 08002-1459
Phone (856) 672-5900

Other identifiers 2

IdentifierTypeStateIssuer
0605352SFIMedicaidNJ
1083704308OtherNJNPI - SINGLE

Other names 1

  • Carol Schober PsyD, LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL carol@schober.us Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190715000543 NJ Part B Supplier - Clinic/Group Practice 2264767193 Receives reassigned benefits from 1 practitioner
Practice locations: Cherry Hill, NJ

National Provider Directory

National Provider Directory

Locations

811 Church Rd
Ste 114
Cherry Hill, NJ 08002
Phone (856) 672-5900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1562544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562544000000",
    "number": "1982266227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 CHURCH RD STE 114",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080021459",
            "telephone_number": "856-672-5900",
            "fax_number": "856-672-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 CHURCH RD STE 114",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080021459",
            "telephone_number": "856-672-5900",
            "fax_number": "856-672-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROL SCHOBER PSYD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-08",
        "last_updated": "2019-07-08",
        "status": "A",
        "authorized_official_last_name": "SCHOBER",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-672-5900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0605352SFI",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI - SINGLE",
            "identifier": "1083704308",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "carol@schober.us",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "811 Church Rd Ste 114",
            "city": "Cherry Hill",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080021459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Carol Schober PsyD, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.