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NPI Code Detail

MEDICARE: ROBIN O SCHERM PSYD

MEDICARE: ROBIN O SCHERM PSYD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist009262NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
213530OTHERNYVALUE OPTIONS
3Y006612OTHERNYCHAMPUS

General Provider Information

NPI Number : 1144208265
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBIN O SCHERM PSYD
Provider Business Mailing Address
First Line : PO BOX 126
Second Line :
City : WILLOW
State : NY
Zip : 12495
Country : US
Telephone Number : 845-679-5511
Fax Number :
Provider Business Practice Location Address
First Line : 15 PINE GROVE ST
Second Line : WOODSTOCK THERAPY CENTER
City : WOODSTOCK
State : NY
Zip : 12498-1507
Country : US
Telephone Number : 845-679-5511
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2006
Last Update Date : 11/10/2022

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