DR. JACQUELINE SCHOMBER (NPI# 1538533344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538533344 |
| Entity Type | Individual |
| Full Name | DR. JACQUELINE SCHOMBER |
| Credential | PSYD |
| Practice Address |
1500 Route 112 Bldg 6 Port Jefferson Station NY 11776-8054 |
| Mailing Address |
1500 Rte 112 Suite 6 Port Jefferson Station NY 11776 |
| Practice Telephone | 6316755271 |
| Mailing Telephone | 6317513000 |
| Enumeration Date | 2015-11-17 |
| Last Update Date | 2019-07-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 022098 | NY | Behavioral Health & Social Service Providers |
| Y | 103TH0004X |
Psychologist Specialization: Health |
022098 | NY | Behavioral Health & Social Service Providers |
| Street Address |
1500 ROUTE 112 BLDG 6 |
| City | PORT JEFFERSON STATION |
| State | NY |
| Zip Code | 11776-8054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366446726 | Jeffrey L Vacirca | Internal Medicine | 1500 Route 112, Bldg 4, Port Jefferson Station, NY 11776-8055 | 2005-06-13 |
| 1740807791 | Sarah Lynn Frisina | Audiologist | 1500 Route 112, Building 4 Second Fl, Port Jefferson Station, NY 11776 | 2020-06-25 |
| 1982262903 | North Shore-lij Cardiovascular Medicine PC | Orthopaedic Surgery | 1500 Route 112, Port Jefferson Station, NY 11776-8054 | 2019-06-04 |
| 1881134815 | Port Jefferson Asc, LLC | Clinic/Center | 1500 Route 112, Bldg 3, Port Jefferson Station, NY 11776 | 2017-02-23 |
| 1235551052 | Long Island Digestive Endoscopy Center, LLC | Clinic/Center | 1500 Route 112, Bldg 5, Port Jefferson Station, NY 11776-8054 | 2014-01-14 |
| 1720326077 | Away From Home Senior Day Care | Custodial Care Facility | 1500 Route 112, Building 6, Suite A, Port Jefferson Station, NY 11776-8054 | 2013-01-22 |
| 1053636431 | Jennifer Marie Diaz | Allergy & Immunology | 1500 Route 112, Bldg. 4 - 2nd Floor, Port Jefferson Station, NY 11776-8054 | 2010-03-29 |
| 1689800633 | Thomas P. Erhart Do PC | Obstetrics & Gynecology | 1500 Route 112, Bldg 11, Suite B, Port Jefferson Station, NY 11776-3060 | 2009-06-04 |
| 1851527972 | Washington Park Women's Health PC | Obstetrics & Gynecology | 1500 Route 112, Bldg 11 Suite A, Port Jefferson Station, NY 11776-3060 | 2009-06-03 |
| 1871763508 | Craig Michael Litman | Otolaryngology | 1500 Route 112, Bldg. 4 - 2nd Floor, Port Jefferson Station, NY 11776-8054 | 2008-03-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205304219 | Melissa E Germano | Acupuncturist | 5225 Nesconset Highway Rte 347, Davis Professional Park Building 1 Suite 1, Port Jefferson Station, NY 11776 | 2018-11-07 |
| 1366962185 | Michael Louis Scicchitano Sr. | Physical Therapist | 3 Colgate Street, Port Jefferson Station, NY 11776 | 2017-06-22 |
| 1063969517 | Dana Adamkiewicz | Acupuncturist | 432 North Bicycle Path, Port Jefferson Station, NY 11776 | 2016-09-01 |
| 1538531819 | Jacqueline Rambo | Specialist | 5225 Nesconset Highway Suite 30, Port Jefferson Station, NY 11776 | 2015-10-26 |
| 1821474297 | Michael Leuci | Social Worker | 3 Premier Court, Port Jefferson Station, NY 11776 | 2015-08-07 |
| 1578978078 | Carol A. Palmer I | Acupuncturist | 34 Champlain St, Port Jefferson Station, NY 11776 | 2014-06-24 |
| 1659783371 | Janette M Sperandeo | Nurse Practitioner | 5 Roosevelt Avenue, Port Jefferson Station, NY 11776 | 2014-05-29 |
| 1578973079 | James Buchrieser | Specialist | 525 Nesconset Highway Suite 30, Port Jefferson Station, NY 11776 | 2014-05-06 |
| 1871923227 | Duran Thomas Murphy | Licensed Practical Nurse | 8 Carolyn Road, Port Jefferson Station, NY 11776 | 2013-11-22 |
| 1699104562 | Julio Genao | Massage Therapist | 213 Jayne Blvd, Portjefferson Station, NY 11776 | 2013-11-01 |
| Find all providers in zip 11776 | ||||
| Taxonomy Code | 103TH0004X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Health |
| The distinct focus of the clinical health psychologist is on physical health problems. A clinical health psychologist has special expertise or training in clinical health psychology and applies scientific knowledge of the interrelationships among behavioral, emotional, cognitive, social and biological components in health and disease to the promotion and maintenance of health; the prevention, treatment and rehabilitation of illness and disability; and the improvement of the health care system. Clinical health psychologists are dedicated to the development of knowledge regarding the interface between behavior and health, and to the delivery of high quality services based on that knowledge to individuals, families, and health care. |
| Notes: Source: American Psychological Association Commission for the Recognition of Specialties and Proficiencies in Professional Psychology, 2008. [1/1/2007: new, 7/1/2008: definiton added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962023168 | Brand Therapy Psychological Services PC | Psychologist | 50 West 39th St, Suite 305, New York, NY 10018 | 2020-04-29 |
| 1124516448 | Evelyn Athena Kolidas | Psychologist | 947 80th St, Brooklyn, NY 11228-2617 | 2018-04-23 |
| 1982947693 | Nicole Altstatt | Psychologist | 1111 Route 25a, Stony Brook, NY 11790-1907 | 2013-04-01 |
| 1336387273 | Jodi Robin Ames-frankel | Psychologist | 153 Main St., Suite G, Mt. Kisco, NY 10549-4619 | 2009-01-30 |
| 1134312572 | Shibani Ray Mazumder | Psychologist | 250 E 30th St Apt 9a, New York, NY 10016-8298 | 2007-08-20 |
| 1740899467 | Ellenge Dillete Denton | Psychologist | 3512 Quentin Rd Ste 110, Brooklyn, NY 11234-4245 | 2020-07-28 |
| 1407415284 | Caroline Faye Zimmermann | Psychologist | 7559 263rd St, Glen Oaks, NY 11004-1100 | 2019-06-06 |
| 1952839151 | Sharone Gilbert | Psychologist | 1157 Willis Ave, Albertson, NY 11507-1219 | 2017-06-01 |
| 1568904639 | Ny Wellness Psychology PC | Psychologist | 250 E 30th St Apt 9a, New York, NY 10016-8298 | 2016-11-07 |
| 1306283320 | Medicalpsych Care, Pllc | Psychologist | 5 W Main St, Suite 206, Elmsford, NY 10523-2416 | 2013-05-31 |
| Find all providers with the same taxonomy | ||||
| City | PORT JEFFERSON STATION |
| Zip Code | 11776 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.