1336759901 NPI number — CHRISTINE ELAINE SCHAETZL LCSW PLLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1336759901 NPI number — CHRISTINE ELAINE SCHAETZL LCSW PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CHRISTINE ELAINE SCHAETZL LCSW PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1336759901
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/08/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8 JOHN WALSH BLVD STE 200B
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PEEKSKILL
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10566-5347
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
845-232-0396
Provider Business Mailing Address Fax Number:
914-402-4209

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1392 ALBANY POST ROAD
Provider Second Line Business Practice Location Address:
SUITE 2E, OFFICE 4
Provider Business Practice Location Address City Name:
CROTON ON HUDSON
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10520
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
845-232-0396
Provider Business Practice Location Address Fax Number:
914-402-4209
Provider Enumeration Date:
08/07/2020

Additional Information

Authorized Official

Authorized Official Last Name:
SCHAETZL
Authorized Official First Name:
CHRISTINE
Authorized Official Middle Name:
ELAINE
Authorized Official Title or Position:
THERAPIST
Authorized Official Telephone Number:
845-232-0396

Provider Taxonomy Codes

  • Taxonomy code: 104100000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 02988452 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".




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