Individual provider Active NPI

Karl Scheibe, PH.D.

  • Clinical Psychologist
  • Old Saybrook, CT
National Provider Identifier
1982627063
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0001316 Issued in CT
Practice address
841 Middlesex Tpke
Old Saybrook, CT 06475-1317
Phone
(860) 395-0111
Fax
(860) 395-1264
NPI assigned
Jul 26, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 0001316 CT Primary

Addresses

Primary practice location

841 Middlesex Tpke
Old Saybrook, CT 06475-1317

Mailing address

841 Middlesex Tpke
Old Saybrook, CT 06475-1317
Phone (860) 395-0111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0001316CTMDClinical Psychologist
001316CTMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Saybrook Center LLC Past Accepting new patients
Karl E Scheibe Clinical PastSince Mar 18, 2005 Accepting new patients

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982627063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 MIDDLESEX TPKE",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064751317",
            "telephone_number": "860-395-0111",
            "fax_number": "860-395-1264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 MIDDLESEX TPKE",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064751317",
            "telephone_number": "860-395-0111",
            "fax_number": "860-395-1264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHEIBE",
        "first_name": "KARL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "0001316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Saybrook, CT

Sources for this page

Verify at the official NPI Registry.