Provider Demographics
NPI:1457574204
Name:SCHNEIDER, AMY PETERMAN (PHD)
Entity type:Individual
Prefix:DR
First Name:AMY
Middle Name:PETERMAN
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:415 E 37TH ST
Mailing Address - Street 2:24L
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-3200
Mailing Address - Country:US
Mailing Address - Phone:203-322-7730
Mailing Address - Fax:
Practice Address - Street 1:415 E 37TH ST
Practice Address - Street 2:24L
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-3200
Practice Address - Country:US
Practice Address - Phone:203-322-7730
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2016-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001318103T00000X, 103TB0200X, 103TC0700X, 103TC2200X, 103TF0000X, 103TH0004X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamily
No103TH0004XBehavioral Health & Social Service ProvidersPsychologistHealth