MEDICARE: STEVEN S SCHWARTZ PH.D.

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	4515	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	125803000	OTHER	OH	MAGELLAN PROVIDER #
2	000000115732	OTHER	OH	ANTHEM PROVIDER #
3	4556138	OTHER	OH	AETNA PROVIDER #

General Provider Information

NPI Number	:	1396897997
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN S SCHWARTZ PH.D.

Provider Business Mailing Address
First Line	:	7650 RIVERS EDGE DR
Second Line	:	STE 140
City	:	COLUMBUS
State	:	OH
Zip	:	43235-1342
Country	:	US
Telephone Number	:	614-841-1101
Fax Number	:	614-841-1957

Provider Business Practice Location Address
First Line	:	7650 RIVERS EDGE DR
Second Line	:	STE 140
City	:	COLUMBUS
State	:	OH
Zip	:	43235-1342
Country	:	US
Telephone Number	:	614-841-1101
Fax Number	:	614-841-1957

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

Provider Enumeration Date	:	01/17/2007
Last Update Date	:	02/20/2009

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