Individual provider Active NPI

Mark Glenn Schneider, PSY.D

  • Clinical Psychologist
  • Castle Point, NY
National Provider Identifier
1982716684
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
016690 Issued in NY
Practice address
VA Hudson Valley Health Care System
Route 9D
Castle Point, NY 12511
Phone
(845) 831-2000
NPI assigned
Aug 31, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

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 016690 NY Primary

Addresses

Primary practice location

VA Hudson Valley Health Care System
Route 9D
Castle Point, NY 12511

Mailing address

17 Cherry CT
Highland Mills, NY 10930-2800
Phone (845) 926-1775

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060429000009 NY Practitioner - Clinical Psychologist 7315957792 Practice locations: Nyack, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

101 Gedney St
Apt 6M
Nyack, NY 10960-2218
Phone (845) 709-5952

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aging Matters Psychological Services, PC CurrentSince Mar 1, 2006 Accepting new patients

Locations

34 S Broadway
Ste 600
White Plains, NY 10601
Phone (914) 328-9877

Organizations & group practices 1

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982716684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 CHERRY CT",
            "city": "HIGHLAND MILLS",
            "state": "NY",
            "postal_code": "109302800",
            "telephone_number": "845-926-1775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VA HUDSON VALLEY HEALTH CARE SYSTEM",
            "address_2": "ROUTE 9D",
            "city": "CASTLE POINT",
            "state": "NY",
            "postal_code": "12511",
            "telephone_number": "845-831-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "MARK",
        "middle_name": "GLENN",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "016690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Point, NY

Sources for this page

Verify at the official NPI Registry.