1962506048 NPI number — MR. ROBERT EDWARD SCHRAY LCSW CASAC

Table of content: MR. ROBERT EDWARD SCHRAY LCSW CASAC (NPI 1962506048)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1962506048 NPI number — MR. ROBERT EDWARD SCHRAY LCSW CASAC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SCHRAY
Provider First Name:
ROBERT
Provider Middle Name:
EDWARD
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
LCSW CASAC
Provider Gender Code:
M

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:
1962506048
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/16/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2519 BRUYNSWICK RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WALLKILL
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
12589-3244
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
845-744-8682
Provider Business Mailing Address Fax Number:
845-744-6793

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2519 BRUYNSWICK RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WALLKILL
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12589-3244
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
845-744-8682
Provider Business Practice Location Address Fax Number:
845-744-6793
Provider Enumeration Date:
09/11/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YA0400X , with the licence number:  9214 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 1041C0700X , with the licence number: R0415521 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 061451757 . This is a "QUANTUM HEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1035920 . This is a "BEACON HEALTH STRATEGIES" identifier . This identifiers is of the category "OTHER".
  • Identifier: P3074367 . This is a "OXFORD HEALTH PLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 061451757 . This is a "UNITED HEALTH CARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 372752 . This is a "MHN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 48591300 . This is a "MEGELLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 061451757 . This is a "ESI" identifier . This identifiers is of the category "OTHER".
  • Identifier: 11237706 . This is a "COALITION OF AFFORDABLE H" identifier . This identifiers is of the category "OTHER".
  • Identifier: 136935P . This is a "HIP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 061451757 . This is a "HEALTH NETWORK OF AMERICA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 410097 . This is a "MVP HEALTH CARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 5136713 . This is a "AETNA" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 00041662601 . This is a "HEALTH NOW" identifier . This identifiers is of the category "OTHER".
  • Identifier: MH1535115 . This is a "VALUE OPTIONS" identifier . This identifiers is of the category "OTHER".
  • Identifier: RSN199389 . This is a "CMS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 061451757 . This is a "APS HEALTH CARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 061451757 . This is a "CDPHP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 7347749 . This is a "GHI BEHAVORIAL MNGMT" identifier . This identifiers is of the category "OTHER".




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