Healthcare Provider Details

I. General information

NPI: 1417889213
Provider Name (Legal Business Name): OLIVIA ROSE SCHADT MSED
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

360 FRANKLIN AVE APT 4R
BROOKLYN NY
11238-2042
US

IV. Provider business mailing address

360 FRANKLIN AVE APT 4R
BROOKLYN NY
11238-2042
US

V. Phone/Fax

Practice location:
  • Phone: 631-352-7438
  • Fax:
Mailing address:
  • Phone: 631-352-7438
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: