MEDICARE: SHELDON M KREMS PHD

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
1	103TC0700X	Clinical Psychologist	0053751	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	417561	OTHER	MVP HEALTH CARE
2	027181	OTHER	CDPHP
3	2112824	OTHER	CIGNA BEH HEALTH
4	5417729	OTHER	AETNA
5	1033150	OTHER	BEACON HEALTH STRAT
6	000471040001	OTHER	BSNENY
7	6886068	OTHER	VALUE OPTIONS
8	6886068	OTHER	GHI BMP

General Provider Information

NPI Number	:	1346355765
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHELDON M KREMS PHD

Provider Business Mailing Address
First Line	:	20 DAVIS AVENUE
Second Line	:
City	:	POUGHKEEPSIE
State	:	NY
Zip	:	12603-2408
Country	:	US
Telephone Number	:	845-485-3500
Fax Number	:	845-485-8780

Provider Business Practice Location Address
First Line	:	510 HAIGHT AVENUE
Second Line	:	SUITE 102 SPECTRUM BEHAVIORAL MANAGEMENT SERV INC
City	:	POUGHKEEPSIE
State	:	NY
Zip	:	12603-2408
Country	:	US
Telephone Number	:	845-485-3500
Fax Number	:	845-485-8780

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/19/2006
Last Update Date	:	07/08/2007

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Directions to “ SHELDON M KREMS PHD” Practice Location

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