Provider Demographics
NPI:1023163417
Name:RONALD G SCHENBERG PHD PA
Entity type:Organization
Organization Name:RONALD G SCHENBERG PHD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:G
Authorized Official - Last Name:SCHENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:561-776-2345
Mailing Address - Street 1:818 US HIGHWAY 1
Mailing Address - Street 2:SUITE 5
Mailing Address - City:NORTH PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33408-3831
Mailing Address - Country:US
Mailing Address - Phone:561-776-2345
Mailing Address - Fax:561-799-3970
Practice Address - Street 1:818 US HIGHWAY 1
Practice Address - Street 2:SUITE 5
Practice Address - City:NORTH PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33408-3831
Practice Address - Country:US
Practice Address - Phone:561-776-2345
Practice Address - Fax:561-799-3970
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-24
Last Update Date:2008-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY2574103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL74315Medicare ID - Type Unspecified