Provider Demographics
NPI:1356365084
Name:SCHOLLER, WILLIAM (PHD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:
Last Name:SCHOLLER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 E 34TH ST
Mailing Address - Street 2:11-G
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-4609
Mailing Address - Country:US
Mailing Address - Phone:212-685-3877
Mailing Address - Fax:212-685-3877
Practice Address - Street 1:120 E 34TH ST
Practice Address - Street 2:11-G
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-4609
Practice Address - Country:US
Practice Address - Phone:212-685-3877
Practice Address - Fax:212-685-3877
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007105-1103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0028350OtherGROUP HEALTH INCORPORATED
NY0028350OtherVALUE OPTIONS
NY6184189OtherUNITED HEALTH CARE
NYP758182OtherOXFORD
NY0005614333OtherAETNA
NYN65880OtherACS/HEALTH NET
NYWS0V153410NOtherBLUE CROSS-BS OF NJ
NYV15341Medicare ID - Type Unspecified
NYP758182OtherOXFORD