Organization Active NPI

Thomas J Schattner, PHD

  • Clinical Psychologist
  • Staten Island, NY
National Provider Identifier
1992067847
Registry record updated Jun 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0168661 Issued in NY
Legal business name
THOMAS J SCHATTNER, PHD
Practice address
201 Bryson Ave
#1
Staten Island, NY 10314-1922
Phone
(917) 526-2020
NPI assigned
Jun 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2012

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

Authorized official

Name
Dr. Thomas J Schattner, PSY.D.
Title
Psychologist
Phone
(917) 526-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 0168661 NY Primary

Addresses

Primary practice location

201 Bryson Ave
#1
Staten Island, NY 10314-1922

Mailing address

201 Bryson Ave
#1
Staten Island, NY 10314-1922
Phone (917) 526-2020

Other identifiers 1

IdentifierTypeStateIssuer
02838824MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1339718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339718400000",
    "number": "1992067847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 BRYSON AVE",
            "address_2": "#1",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103141922",
            "telephone_number": "917-526-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 BRYSON AVE",
            "address_2": "#1",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103141922",
            "telephone_number": "917-526-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS J SCHATTNER, PHD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-15",
        "last_updated": "2012-06-15",
        "status": "A",
        "authorized_official_last_name": "SCHATTNER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "917-526-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "0168661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02838824",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2012; 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.