Active NPIIndividual providerSole proprietor

Edward J Schork Jr., PHD

Psychologist, Clinical in Greenwich, Connecticut

NPI Number1811948441
Practice location
523 E Putnam Ave, Suite 24, Greenwich, CT 06830-4877
Fax
—
Last updated
September 21, 2015

Edward Joseph Schork is a Psychologist, Clinical based in Greenwich, CT. Edward Joseph Schork practices in Greenwich, CT and has the professional credentials of PHD. The NPI Number for Edward Joseph Schork is 1811948441 and holds a License No. 008855 (NY). The current practice location address for Edward Joseph Schork is 523 E Putnam Ave, Suite 24, Greenwich, CT 06830-4877 and can be reached out via phone at 203-448-9742.

Provider Profile Details

NPI Number
1811948441
Provider Name
Edward Joseph Schork
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
523 E Putnam Ave, Suite 24, Greenwich, CT 06830-4877
Phone Number
203-448-9742
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
May 16, 2006
Last Update Date
September 21, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
523 E Putnam Ave
Suite 24
Greenwich, CT 06830-4877
Zip
06830-4877
Phone Number
203-448-9742
Greenwich, CT 06830Get directions →

Provider Business Mailing Address Details

Address
34 Sleepy Hollow Dr
Danbury, CT 06810-5361
City
Danbury
State
CT
Zip
06810-5361
Phone Number
203-448-9742

License Information

License Number (1)
008855
License State (1)
NY
Taxonomy (1)
Psychologist, Clinical · 103TC0700X
License Number (2)
001636
License State (2)
CT
Taxonomy (2)
Psychologist, Clinical · 103TC0700X · Primary
License Number (3)
001636
License State (3)
CT
License Number (4)
08855
License State (4)
NY
License Number (5)
001636
License State (5)
CT
Taxonomy (5)
Psychologist, Cognitive & Behavioral · 103TB0200X
License Number (6)
008855
License State (6)
NY
Taxonomy (6)
Psychologist, Cognitive & Behavioral · 103TB0200X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Edward J Schork Jr., PHD?

The NPI number of Edward J Schork Jr., PHD is 1811948441. It was assigned on May 16, 2006 and is currently active in the NPPES registry.

What is the specialty of Edward J Schork Jr., PHD?

Edward J Schork Jr., PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in NY under license number 008855.

Where does Edward J Schork Jr., PHD practice?

The practice location is 523 E Putnam Ave, Suite 24, Greenwich, CT 06830-4877. The office can be reached at 203-448-9742 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1811948441 directly on the NPPES registry website.

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